MATERNAL AND NEONATAL OUTCOME AFTER PREVIOUS SPONTANEOUS ABORTION AN EXPERIENCE AT PMC HOSPITAL NAWABSHAH

Abstract

ABSTRACT INTRODUCTION: When there is a sudden miscarriage of a child that is the most widely recognized intricacy of pregnancy cause the imperishable anxiety in couple which are mentally prepared for a child. OBJECTIVES: The aim of this study was to determine the maternal and neonatal outcome after previous spontaneous abortion METHODS: We conducted this Cross sectional study study at Obstetrics and gynaecology department of Peoples Medical University & Hospital Nawabshah, during January to June 2020 (Six month). A total of 246 women with history of spontaneous abortion were included in this study. Detailed History was taken from all the patients with special regard to spontaneous abortions. All of the patients entered the study during the first trimester and was followed until delivery by the investigators. All the record were entered into Proforma. RESULTS: The average age of the women was 25.90±4.51 years. Maternal morbidity like premature rupture of membrane 11.8%, antepartum hemorrhage 8.5%, recurrence abortion 5.3%, intrauterine fetal death 5.3%, cesarean delivery 66.7%, instrumental delivery 10.2%, placenta previa 8.9%, preeclampsia 7.7% and eclampsia was observed in 6.1% women. Regarding neonatal outcome, there were 37% low birth weight (<2.5), 4.1% gross congenital anomaly, 40.2% low apgar score (≤6), 4.1% breech presentation, 46.7% preterm delivery, 44.3% NICU Admission and 2% perinatal mortality CONCLUSION: In present study the incidence of antenatal complications was high. The future pregnancy always at a higher risk if women have an unsuccessful past obstetrical history or a history of previous miscarriage. Always take a concern with the doctor and take help if there is history of repeated abortion in the early days of the pregnancy