The Modes of Delivery and Neonatal Outcomes of Pregnancies Concieved After Recurrent Abortion

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Objective: We compared the neonatal outcomes and the route of delivery in women who have had recurrent spontaneous abortions with the primigravid and multigravid women without a history of spontaneous abortion. Material and Methods: This study included 45 women with a history of recurrent spontaneous abortions and 139 women as the control group who gave birth at Suleymaniye Obstetrics and Gynecology Hospital between 2001-2006. The control group was divided into two subgroups: 74 primiravid women and 65 multigravid women. Data were collected from hospital records retrospectively. Results: The rate of cesarian section in the recurrent abortion group (47.8 %) were found to be significantly higher than the other groups (p 0.05). The most frequent indication of cesarian section in the recurrent abortion group was found to be precious pregnancy. Oxytocin for labor induction was used significantly less in the abortion group (p 0.001). Maternal age were higher in abort and multigravid group than primigravid group. The mean birth weight were higher in multigravid group than the abort and primigravid group “(p 0.001).” Hematocrit levels before birth were found to be significantly higher in abortion group than multigravid and primigravid group. Hematocrit levels after birth were found to be significantly higher in abortion and multigravid group than primigravid group (p 0.01). Conclusion: In conclusion we found that pregnancies after recurrent pregnancy losses were not related with adverse neonatal outcomes although they had high cesarean rates.

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Recurrent abortion , ceasarian section , precious pregnancy

Kocatepe Medical Journal

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Kocatepe Medical Journal