Title: Risk Factors of Spontaneous Second Trimester Abortion- A Case Control Study

Authors: Dr Simi Jameela, Dr Ambili Kumari.S, Dr Sujamol Jacob

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i5.59

Abstract

Pregnancy is a period of wonderful time of anticipation but when it ends in spontaneous second trimester abortion, it can be an intensely sad and frightening experience to the expectant parents.

Objective[s]:1.Early identification of high risk pregnancy patients.

  1. To determine the risk factors associated with spontaneous second trimester abortion.

Materials and Methods: This is a case control study conducted in Sree Avittom Thirunal Hospital Trivandrum over a period of 1year. study group with all cases of spontaneous second trimester abortion admitted in hospital and control with registered antenatal patients who have completed 24 weeks of pregnancy..During the study period 156 cases in study group compared with 156 control group.

Results: In the present study women with positive past medical history had 2.5 times increased risk of second trimester abortion. Women with previous pregnancy loss had 3 times increased risk and history of cervical incompetence had 7 times increased risk when compared to control group.

Conclusion: This study suggest that women with spontaneous second trimester abortion should be informed of their pregnancy expectations and outcome. Improved Obstetrics care can provide successful pregnancy for the great majority of these high risk women. Appropriate interventions can prevent some of antepartum complications.

Keywords: Risk Factor, Second Trimester Abortion.

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Corresponding Author

Dr Simi Jameela

Assistant Professor, Department of Obstetrics and Gynaecology,

Sree Avittom Thirunal, Trivandrum, India