pregnancy Outcome in Women with Threatened Miscarriage: a Year Study (original) (raw)
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A case control study on the effect of threatened miscarriage on selected pregnancy outcomes
Sri Lanka Journal of Obstetrics and Gynaecology, 2010
Objective: To describe and ascertain adverse pregnancy outcomes in mothers with threatened miscarriage. Methods: A case control study involving 110 mothers with threatened miscarriage during the first 14 weeks of pregnancy with 220 age and parity matched controls The study period was one year from November 2006 and conducted at Sri Jayewardenepura General Hospital (SJGH), Nugegoda. Results: The mean maternal age of the study group was 28.8 (SD-4.6) years and 69 (62.7%) of the mothers were nulli parous while 34 (30.9%) were multi parous women. The complications seen in the study group were preterm delivery 12 (10.9%), preterm premature rupture of membranes 7 (6.4%), placental abruption 6 (5.5%), small for gestation 20 (18.2%) and manual removal of placenta 2 (1.8%). When compared with age and parity matched controls there was a significant increase in pregnancy induced hypertension and its complications (Pearson's 2 = 8.224, P < 0.05) and fetal growth restriction (Pearson's 2 = 5.029, P < 0.025). There was no statistically significant difference between the two groups with regard to pre term pre labour rupture of membranes, caesarean section, delivery of babies small for gestational age and manual removal of the placenta.
Maternal complications in women presenting with first trimester threatened miscarriage
The Professional Medical Journal
Objective: To determine the frequency of miscarriage, hypertensive disorder of pregnancy, placental abruption and preterm birth in women with first trimester threatened miscarriage. Study Design: Cross-sectional study. Setting: Department of Obstetric & Gynaecology, Sir Syed Hospital and Pakistan Naval Ship Shifa Hospital (Karachi). Period: April, 2021 to March, 2022. Material & Methods: Ninety two women 18-40 year old, diagnosed as threatened miscarriage at ≤ 13 weeks based on history, examination and ultrasound were included in the study after informed consent and followed till delivery. Women with genital infection, other form of miscarriage and multiple pregnancy were excluded. Data recorded from hospital documents. Maternal age, parity and Gestational age assessed. Miscarriage, hypertensive disorder of pregnancy, placental abruption, preterm birth and PPROM expressed as frequency and percentages. Logistic regression analysis performed. Chi square test (x2) used and P-value ≤ 0....
Obstetric outcome in women with threatened miscarriage in the first trimester
Obstetrics and gynecology, 2006
To assess pregnancy outcomes in women with threatened miscarriage in the first trimester. This was a retrospective cohort study based on data extracted from the Aberdeen Maternity and Neonatal Databank. Cases included all primigravid women with first-trimester vaginal bleeding who delivered after 24 weeks of gestation between 1976 and 2004. The control group comprised all other women who had first pregnancies during the same period. Data were analyzed by univariate and multivariate statistical methods. Compared with the control group (n = 31,633), women with threatened miscarriage (n = 7,627) were more likely to have antepartum hemorrhage of unknown origin (odds ratio [OR] 1.83, 95% confidence interval [CI] 1.73-2.01). Elective cesarean (OR 1.30, 95% CI 1.14-1.48) and manual removal of placenta (OR 1.40, 95% CI 1.21-1.62) were performed more frequently in these women, who also had a higher risk of preterm delivery (OR 1.56, 95% CI 1.43-1.71) and malpresentation (OR 1.26, 95% CI 1.13...
Threatened miscarriage: evaluation and management
BMJ, 2004
Threatened miscarriage-vaginal bleeding before 20 gestational weeks-is the commonest complication in pregnancy, occurring in about a fifth of cases. w1 Miscarriage is 2.6 times as likely, 1 and 17% of cases are expected to present complications later in pregnancy. 2 Although general practitioners and gynaecologists often see this condition, management of threatened miscarriage is mostly empirical. Bed rest is routinely recommended, and about a third of women presenting with threatened miscarriage are prescribed drugs. w2 However, two thirds of the general practitioners recommending this do not believe it affects outcome. In this review, we present available evidence on the initial evaluation and management of threatened miscarriage, focusing mainly on the first trimester of pregnancy and primary healthcare settings.
Cureus
Background: Pregnancies complicated by threatened miscarriage (TM) may be associated with adverse pregnancy outcomes. The objective of this study was to compare the differences in pregnancy outcomes between the women who experienced TM and asymptomatic controls. Methods: This was a 10-year retrospective review. Case records of 117 women who were managed for TM from January 1, 2010, to December 31, 2019, were retrieved and studied. The control group was developed from an equal number of asymptomatic clients matched for age, parity, and BMI who were receiving antenatal care (ANC) during the same period. Data on demography, clinical and ultrasound findings, treatment, and pregnancy outcomes were retrieved and analyzed. Results: Spontaneous abortion rate of 13.7% was recorded among the study group compared with 3.
Outcome of the First Trimester Threatened Miscarriage : Study of the Predicting Factors
2015
pregnancies. Threatened miscarriage is a pregnancy complicated by vaginal bleeding and/or uterine cramps before 20 weeks of gestation (1,2). The bleeding is usually resolves spontaneously in few days and may never to recur, or it may continue, or stop and start over several days or weeks .When abdominal cramps supervene that the process may become inevitable especially when cervix opens (3) .
International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Background:Threatened miscarriage is the commonest complication of pregnancy and has been aBackground: Threatened miscarriage is the commonest complication of pregnancy and has been associated with adverse pregnancy outcomes. Therefore, the aim of this study is to determine the association between threatened miscarriage and adverse maternal and perinatal outcomes.Methods: This was a retrospective case-control study undertaken at the Alex Ekwueme Federal University Teaching Hospital, Abakaliki. The study involved 228 women presenting with threatened miscarriage in the first trimester and 228 asymptomatic matched controls. The statistical analysis was done using Epi info version 7.1.5, March 2015 (CDC, Atlanta, Georgia, USA).Results: Women with threatened miscarriage were more likely to have preterm delivery (OR = 7.1, 95% CI = 3.51-14.32, P…
2018
Neonatal, prenatal and infant mortality rates are still high in developing countries despite national and international efforts to redress this problem. This study was conducted to investigate maternal knowledge and attitudes regarding the risk factors that adversely affect pregnancy outcomes and miscarriages in DHQ Dera Ghazi Khan. A longitudinal study was conducted among 100 pregnant women attending antenatal clinics from start of their pregnancy to 22 weeks of gestation. Socio-economic, demographic, anthropometric, biomedical and obstetric information was collected. Results showed that, majority of the pregnant women (> 70%, n = 70) were aware of the risk factors that could adversely affect the pregnancy outcomes, however, they did not know the exact mechanisms by which the risk factors acted to cause the adverse effects. Occurrence of risk factors among pregnant women was severe anaemia - smoking, passive smoking, alcohol consumption, unmarried, under-age (< 20 years), ove...