STUDY OF PREGNANCY OUT COME OF THREATENED ABORTION WITH HISTORY OF PREVIOUS ABORTION, RECURRENT ABORTION OF FIRST TRIMESTER OF PREGNANCY

Dr. Haripada Debnath*, Dr. Aminur Rahaman, Dr. Jibon Krishna Sarkar and Dr. Khaleda Jahan

ABSTRACT

Introduction: Background – Now a days, there is huge number of pregnant women suffering from threatened abortion at first trimester of pregnancy which occupy approximately 20% of all pregnancy. There are some patients continue their pregnancy upto term and some patients loss their pregnancy. Continuation of pregnancy depends on some factor such- maternal age, history of previous pregnancy loss, health status of mother, infection and initial treatment with Bed rest (complete), folic acid and progesterone supplements. Object: My Study aimed of finding the outcome of pregnancy of threatened abortion at first trimester with early initiation of treatment with Bed rest (complete), folic acid and progesterone supplement at different duration. Method: It was a Prospective study of 100 (One hundred) patients Suffering from Threatened abortion with or without previous spontaneous abortion and recurrent abortion, These patients were observed at Upazila Health Complex Bhairab, Kishoregonj and my Private Chamber from 2018 to 2019. Result: In my Study 100 (One hundred) patients of first Trimester pregnancy with Threatened abortion treated with Bed rest, Folic acid and Progesterone Supplement at different duration. As a result out come of these patients - abortion occurred 40 patients (40%) and Continuation of pregnancy occurred 60 patients (60%). Incidence of abortion was increased when maternal age more than 35 Years and less than 20 Years, per vaginal bleeding duration more than 10 days, Gestational age 6-8 weeks and history of previous medical termination of pregnancy.

Keywords: Threatened abortion, recurrent abortion, Folic acid, micronised progesterone, absolute Bed rest.