Preterm Delivery Outcomes Following Threatened Abortion
DOI:
https://doi.org/10.54112/bcsrj.v6i11.2103Keywords:
Threatened Abortion, Preterm Delivery, Preterm Birth, Pregnancy Complications, Neonatal Intensive Care.Abstract
Threatened abortion is a common complication of early pregnancy and may predispose women to adverse obstetric and neonatal outcomes. Evidence regarding its impact on preterm birth and related complications remains limited in low and middle-income settings. Objective:.To assess the prevalence of preterm birth and the following complications in women presenting with threatened abortion. Methodology: A case-control study was conducted on eighty pregnant women. Forty women with a confirmed diagnosis of threatened abortion formed the case group. They were matched on age, parity, and gestational age at presentation to 40 control women. Preterm delivery (birth before 37 weeks), low birth weight (<2.5 kg), postpartum haemorrhage, and neonatal intensive care unit admission were assessed. Complications like preeclampsia, HELLP syndrome and placenta praevia were also evaluated. SPSS 25 was used for analysing the data. Results: The groups were similar in terms of maternal age, gestational age and parity. Preterm delivery was significantly higher in the case group, 25.0% compared to 5.0% in the control group (p=0.01). Neonates in the threatened abortion group had a higher incidence of low birth weight, 22.5% vs 5.0% (p=0.02), and required neonatal intensive care unit admission more frequently, 27.5% vs 7.5% (p=0.01). Postpartum haemorrhage was also more common in cases, 15.0% vs 2.5% (p=0.04). Maternal complications were significantly higher in the case group compared to the control group (p=0.03). Conclusion: Threatened abortion is a significant risk factor for preterm delivery and is associated with an increased burden of maternal and neonatal morbidity.
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Copyright (c) 2025 Saima Khatoon, Nida Anwar, Tehreem Zahra, Huma Gul Khan, Syeda Farwa Ali
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