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Examines the Outcome of Pregnancy in Pregnant Women with Threatened Abortion and its Associated Factor

Author: 
Abeergatea and Muna R. Hassan
Subject Area: 
Health Sciences
Abstract: 

Objectives: To study the prevalence of threaten abortion in 1st trimester among pregnant women and to find out any association which has been found between the socio demographic characteristic and obstetrical outcomes. Methodology: A Prospective cross sectional study has been conducted in Fatima Al-Zahra hospital in Baghdad among 409 pregnant women attending to emergency and outpatient clinics during the period from first April 2015 to twenty third February 2016. Data collection was by using a previously designed questionnaire history. A blood sample has been obtained to estimate the complete blood cell count, Rh identification, and quantitative bhCG. Results: Most cases still in the age group 21-30 years was 202 (49.4%). Preterm delivery 113(27.6%), 50.6% of hematoma with the size less than 4cm2. only 0.5% of case had history of therapeutic abortion. 11.5% of cases had smoker. All pregnant women was suffering from diabetes mellitus, hypertension, epilepsy, anemia, psychological, hormonal imbalance, 27.1%, 19.1%, 1.7%, 82.9%,3.2%, 30.1% respectively. Significant associations have been found between the age groups, occupation, family history and obstetrical outcomes (P<0.0001). Conclusions: Threatened abortion occurs often and is a serious emotional burden for women. Bleeding in the first half of the pregnancy with or without presence of hematoma may be associated with poor pregnancy outcome. Bed rest, uterine sedatives and hormonal treatment given can bring better prognostic outcome. Investigations that determine the diagnostic and prognostic parameters are of value. Recommendation: Further large prospective studies are needed to find the best predictors for the better outcome.

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