A STUDY OF PREGNANCY OUTCOME IN CASES WITH PREVIOUS FIRST TRIMESTER SPONTANEOUS ABORTION

Abstract

Introduction:Abortion is dened as pregnancy termination or loss before 20 weeks gestation or with a fetus delivered weighing & lt; 500g. About 80% of spontaneous pregnancy losses occur in rst trimester. Aim: To evaluate & study pregnancy outcome in cases with history of previous spontaneous abortions. Objective: To compare the outcomes of pregnant women with history of previous spontaneous abortion and pregnant women without any history of previous abortion. Methods: Total 200 patient were studied 100 cases(with previous history of spontaneous abortion) and 100 control(without history previous abortion) for foetomaternal outcome. Results: A total of 100 patients with history of previous spontaneous abortion were admitted. Majority (58 %) of patients belong to the age group 21-25 years. Maximum patients (77%) were with history of previous one abortion followed by previous two abortions (17%). The nal outcomes were term live birth (64%), abortion (6%), preterm delivery (16%), and PROM (10%). Caesarian section was done in 33% patients for various indications in cases. In control group term live birth (93%),abortion(1%),preterm (4%) and IUGR (1%).Caesarian section was done in 2% control group. Conclusions: Our study showed that previous history of spontaneous abortion is associated with adverse pregnancy outcome like increased risk of abortion, preterm delivery, need for caesarean sections and fetal loss in cases of previous spontaneous abortions