Abstract :
Background: The objective of the present study was to study the pregnancy outcome following previous
spontaneous abortion.
Materials and Methods: The present study included 140 patients admitted in the department of Obstetrics
and Gynaecology Government Medical College Srinagar, LD Hospital Jammu & Kashmir India from
September 2018 to February 2019. Patients with history of spontaneous abortion preceding present
pregnancy irrespective of gravidity, first visit or booked or unbooked were enrolled. Detailed history
regarding previous abortion was taken and examination was done focussing on information about previous
abortion. All the routine investigations along with investigation for possible etiologies of previous abortions
were done. The patients were observed for complications like PROM, placenta previa, preeclampsia,
placental abruption, abortion, IUFD, breech, threatened abortion, still birth during the present pregnancy.
Results: Out of 140 patients 100 were booked and 40 un-booked. Majority of the patients (39.2%) were in
the age group of 25-30 years. 58.5% patients belonged to urban areas. Majority of patients (67.8%) were
uneducated or educated till primary level. 15.7% of the patients had threatened abortion and 11.2% had
complete abortion. Further it was found out that patients with pre term delivery and PROM were 14.2%
and 9.25 respectively. 50% of patients delivered by caesarean section. It was further observed that foetal
outcome was good in 72% of patients with lbw 9.2% and IUGR in 7.1% patients.
Conclusion: From the study it was observed that patients with history of previous spontaneous abortion
are associated with adverse pregnancy outcome. The pregnancy outcome in terms of maternal and foetal
complications can be improved by giving proper antenatal care.
Keyword :
Pregnancy, Spontaneous abortion, PROM, Placenta previa, Preeclampsia, Placental abruption, Abortion, IUFD, Breech, Threatened abortion, Still birth