Threatened Miscarriage as a predictor of obstetric outcome

ABSTRACT

It was to study pregnancy outcome in patients with threatened miscarriage as compared to patients who had no bleeding in early pregnancy. It was a prospective case control/cohort study. This study was carried out in department of Obs. and Gyn. Islam teaching hospital, Sialkot from 1[st] January 2012 to 31[st] December 2012. 100 patients were enrolled randomly to group A, who had vaginal bleeding with closed cervix in first half of pregnancy. 100 asymptomatic age matched controls were enrolled randomly to group B. Data recorded included demographic features and detailed pregnancy outcome. Overall adverse pregnancy outcome was significantly higher in group A as compared to group B [p value <0.05]. 15% of patients had miscarriage in group A, while 2.1% miscarried in group B [p value <0.01]. Similarly 18% patients had preterm delivery in group A as compared to group B with 3.2% rate [p value 0.001]. Threatened miscarriage is associated with adverse pregnancy outcomes. Most significantly miscarriage, preterm delivery and low birth weight of neonates