PMID: 2507063Aug 26, 1989Paper

Influence of past reproductive performance on risk of spontaneous abortion

BMJ : British Medical Journal
L ReganP L Trembath

Abstract

To investigate the incidence of spontaneous abortion in a population of women in order to establish their risk of spontaneous abortion and the obstetric factors predisposing to it. Prospective study of women recruited by radio and poster appeal and from hospital outpatient clinics. English provincial community. 630 Women from the general population intending to become pregnant. The viability of the pregnancy was assessed by abdominal ultrasonography before completion of the eighth week, and the assessment was repeated if vaginal bleeding occurred. Spontaneous abortion or live births in women with or without a previous history of spontaneous abortion. The overall incidence of clinically recognisable spontaneous abortion before 20 weeks of gestation was 12% (50/407 pregnancies). The risk of spontaneous abortion in each category of patient was classified with respect to the patient's past reproductive performance and found to be influenced greatly by her previous obstetric history. In primigravidas and women with a history of consistently successful pregnancies the incidences of abortion were low (5% (4/87) and 4% (3/73) respectively), whereas women with only unsuccessful histories had a much greater risk of aborting the study pre...Continue Reading

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Citations

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