Volume : 8, Issue : 3, March - 2019

STUDY OF PREGNANCY & FETAL OUTCOMES OF PATIENTS COMPLICATED BY THREATENED ABORTION

Dr. Devashri Denge, Dr. Pradip Wamanrao Sambarey

Abstract :

AIM AND OBJECTIVES: 1. To study various maternal complications in cases of threatened abortion. 2. To evaluate fetal outcome in pregnancies complicated by threatened abortion. MATERIAL AND METHODS: Tertiary care hospital based prospective observational study was conducted with 100 patients to analyze various maternal complications and evaluate fetal outcomes in pregnancies complicated by threatened abortion in 2 years. Appropriate statistical software including but not restricted to MS-Excel. SPSS version 20 was used for statistical analysis. RESULTS: Observational study. The mean age of the patients was 26.1+-3.4years. 52%patients were primigravida and 48% were multigravida.. The mean period of gestation at the time of delivery was 35.6 weeks ± 6.19. Out of 93 patients, 42 delivered without any complications while rest of them had some maternal or fetal complications.The most common antenatal complication was preterm premature rupture of memanes (13%) followed by pre-eclampsia (10%) and gestational hypertension (8%). Anaemia and PPH was found in 7% cases each. In fetal outcome, preterm delivery was highest (21%) followed by LBW babies (13%).Fever was the most common postnatal maternal complication. CONCLUSION: Early pregnancy vaginal bleeding may indicate underlying placental dysfunction, which may manifest in later pregnancy by a variety of adverse outcomes including preterm delivery, pregnancy induced hypertension, placental auption and fetal growth restriction. Conversely,since preterm delivery is associated with threatened miscarriage, identifying women who are at “high risk” for preterm labour is very important. Knowledge of this increased risk may also facilitate decision making regarding management.