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Pregnancy outcome in patients with history of recurrent spontaneous abortions: a 5-year review
  1. N Salvi,
  2. Y Mohammad,
  3. O Amu
  1. Royal Oldham Hospital, Oldham, UK

Abstract

Introduction Recurrent spontaneous abortion is defined as the loss of three or more consecutive pregnancies. It affects 1% of all the women.

Aim The aim of our study was to assess the management in pregnancy and the pregnancy outcomes in patients with history of recurrent spontaneous abortion.

Methods This is a retrospective study of 37 patients with history of recurrent spontaneous abortion.

Results The number of spontaneous abortions prior to the index pregnancy ranged from 3 to 8. Only 54% of the patients had some or all the investigations as recommended by RCOG guidelines to find the cause for recurrent spontaneous abortions. Of the patients investigated only one had positive test for antiphospholipid antibody.

11% of the patients were referred to a tertiary centre that is Liverpool for investigation and management. 59% of the patients were treated with low dose aspirin. 30% of the patients were given hCG, 5% received heparin and 8% received progesterone. 42% of the patients had induction of labour. 33% of the patients were delivered by Caesarean section. 11% of the babies delivered were admitted to NICU primarily for prematurity. All patients had good outcome, there were no stillbirths or neonatal deaths

Conclusion Some of the patients were given empirical treatment with medications known to have little or no benefit. The treatment of patients with recurrent spontaneous abortions needs to be standardized.

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