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Maternal outcome of Patients Affected by Threatened Miscarriage in First Trimester at Bhuj, Kutch, Gujarat

Akansha, Assistant Professor, Department of Obstetrics & Gynaecology, Gujarat Adani Institute of Medical Science, Bhuj, Kutch, Gujarat 370001, India. , Nagajan Bhadarka* , Akansha**

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Indian Journal of Obstetrics and Gynecology 5(4):p 453-456, Oct-Dec 2017. | DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5417.1

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Background and Aim: Abortion or miscarriage is the term to denote vaginal bleeding with or without abdominal cramps in early stages of pregnancy, usually 20 to 24 weeks of gestation, which may lead to expulsion of the fetus before it is capable ofexutero survival. It is of utmost importance to diagnose the condition at the earliest and prevent it from progressing to imminent or complete miscarriage so the purpose of the study was to study the maternal outcome of patients affected by threatened miscarriage in first trimester. Materials and Methods: Present Study was Performed at Department of Gynaecology, Gujarat Adani Institute of Medical Science, Bhuj , Kutch, Gujarat. 150 patients who came to the hospital in OPD or in emergency casualty with complaints of bleeding per vaginum before 20 weeks and documentation of fetal viability by ultrasound was done were selected for the study. Any incidence of preeclampsia, intrauterine fetal growth restriction, intrauterine fetal death, low birth weight, low lying placenta, placenta praevia or low lying placenta, birth weight was recorded. Results: Of the 154 patients in the study group, 12 had gestational hypertension and 20 had preeclampsia. In the control group, only 5 had gestational hypertension and 6 had preeclampsia. There is a significant difference in gestational age, baby weight, APGAR scores, incidence of preeclampsia in control group and study group. Conclusion: The various maternal complications like gestational hypertension, preeclampsia, antepartum hemorrhage due to placenta previa have a high incidence in patients with threatened miscarriage. Risk of preterm labour is also significantly increased in these cases with threatened miscarriage. Hence if timely diagnosed & adequately treated, the maternal outcome would improve in cases of threatened miscarriage.

Keywords: Bhuj; Hypertension; Miscarriage; PreEclampsia. 

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DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5417.1

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