Pregnancy outcome following previous history of spontaneous abortion

Abstract

Introduction: Pregnancy period is crucial for the health of the mother and baby. Spontaneous abortion is the most common adverse pregnancy outcome. Spontaneous pregnancy loss is a surprisingly common occurrence with approximately 15% of all clinically recognized pregnancies resulting in pregnancy failure. Spontaneous pregnancy loss can be physically and emotionally taxing for couples, especially when faced with recurrent losses.

Objective: To determine pregnancy outcome following previous spontaneous abortion and to evaluate any complication associated with previous abortion as compare to previous normal delivery.

Method: A prospective and observationalstudy was done on 100 patient that include 50 patient of control group who have history of previous normal delivery and 50 patients in study group who have history of previous abortion history. All the antenatal, postnatal complications and mode of delivery were noted and compared between these two groups.

Result: Shows that Pregnancy complications including threatened miscarriage, premature rupture of membranes (PROM), preterm delivery, intra uterine growth restriction (IUGR) are more commonly associated with pregnancy following history of previous abortion. Rate of caesarean section was significantly increased in women with previous spontaneous abortion and give significant p value 0.000008; Statistical analysis was carried out using Statistical Package for Social Scientists (SPSS).

Conclusion: Women with a history of previous spontaneous abortion are at an increased risk of complications in the next pregnancy. So careful surveillance should be provided to every women and not to be restricted only to females with history of recurrent pregnancy loss.