Obstetric outcome in women with threatened miscarriage in the first trimester.
OBJECTIVE
To assess pregnancy outcomes in women with threatened miscarriage in the first trimester.


METHODS
This was a retrospective cohort study based on data extracted from the Aberdeen Maternity and Neonatal Databank. Cases included all primigravid women with first-trimester vaginal bleeding who delivered after 24 weeks of gestation between 1976 and 2004. The control group comprised all other women who had first pregnancies during the same period. Data were analyzed by univariate and multivariate statistical methods.


RESULTS
Compared with the control group (n = 31,633), women with threatened miscarriage (n = 7,627) were more likely to have antepartum hemorrhage of unknown origin (odds ratio [OR] 1.83, 95% confidence interval [CI] 1.73-2.01). Elective cesarean (OR 1.30, 95% CI 1.14-1.48) and manual removal of placenta (OR 1.40, 95% CI 1.21-1.62) were performed more frequently in these women, who also had a higher risk of preterm delivery (OR 1.56, 95% CI 1.43-1.71) and malpresentation (OR 1.26, 95% CI 1.13-1.40). Threatened miscarriage in the first trimester is required in 112, 112, 17, 85, 32 patients, respectively, for each additional case of manual removal of placenta, elective cesarean, antepartum hemorrhage of unknown origin, malpresentation, and preterm delivery.


CONCLUSIONS
Pregnancies complicated by threatened miscarriage are at a slightly higher risk of obstetric complications and interventions.


METHODS
II-2.
Wijesiriwardana
Ajith
A
Department of Obstetrics and Gynaecology, Aberdeen Maternity Hospital, Aberdeen, United Kingdom.
Bhattacharya
Sohinee
S
Shetty
Ashalatha
A
Smith
Norman
N
Bhattacharya
Siladitya
S
D000033:Abortion, Threatened / Q000503:physiopathology*; D000328:Adult; D015331:Cohort Studies; D036861:Delivery, Obstetric / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn / Q000502:physiology*; D007234:Infant, Premature; D007744:Obstetric Labor Complications / Q000503:physiopathology*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D011247:Pregnancy; D011256:Pregnancy Outcome; D011261:Pregnancy Trimester, First / Q000502:physiology*; D012189:Retrospective Studies; D012606:Scotland