title: Obstetric outcomes of patients with abortus imminens in the first trimester.
abstract: OBJECTIVE
  We aimed to find out the effect of abortus imminens (AI) on obstetric outcomes of pregnancies which continued beyond the 24th week of gestation.
  
  
  METHODS
  In this prospective study, 309 patients with AI were divided into high-risk group (with a risk factor for spontaneous abortus) (n = 92) and low-risk group (without a risk factor) (n = 217). The control group (n = 308) was chosen randomly.
  
  
  RESULTS
  In AI group, preterm delivery, preterm premature rupture of membranes (PPROM), cesarean section (C/S) delivery, postpartum uterine atony and need of a neonatal intensive care unit (NICU) rates were significantly higher than control group. Gestational diabetes mellitus, PPROM, still birth, low APGAR scores were seen more frequently in the high-risk patients than in the control group. Furthermore in the high-risk group, preterm delivery, malpresentation, C/S delivery and need of NICU were increased much more than in the low-risk group. Gestational hypertension/preeclampsia, oligo/polyhydramniosis, intrauterine growth retardation, placenta previa, abruption of placenta, chorioamnionitis, congenital abnormalities, delivery induction, cephalopelvic disproportion, fetal distress and manual removal of placenta were not different among the groups.
  
  
  CONCLUSIONS
  Patients with AI history, especially with high-risk factors can have adverse obstetric and neonatal results. So their antenatal follow-up has to be done cautiously for the early signs and symptoms of these complications.
authors.affiliation: Dr. Zekai Tahir Burak Women Health and Research Hospital, Ankara, Turkey.
authors.forename: Ayşe Nur
authors.initials: AN
authors.lastname: Evrenos
authors.forename: Ayse Nur
authors.initials: AN
authors.lastname: Cakir Gungor
authors.forename: Cavidan
authors.initials: C
authors.lastname: Gulerman
authors.forename: Emine
authors.initials: E
authors.lastname: Cosar
mesh_terms: D000033:Abortion, Threatened; D000328:Adult; D016022:Case-Control Studies; D005260:Female; D020073:Gravidity; D006801:Humans; D007231:Infant, Newborn; D010298:Parity; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology*; D011256:Pregnancy Outcome; D011261:Pregnancy Trimester, First; D018566:Pregnancy, High-Risk; D011446:Prospective Studies; D012307:Risk Factors