Pre-pregnancy risk factors for miscarriages: A prevalence study

  • Dr. Faiza Murtaza Ahmed Medical Complex, Rawalpindi
  • Dr. Zaib un Nisa Medical Frequency and Healthcare Clinic, DG Khan
  • Dr. Sidra Anam Tehsil Headquarter Hospital (THQ) Hazro, Dist. Attock
  • Dr. Fouzia Baluch Shareef Medical Centre, Multan
  • Dr. Sidra Kiran Medicsi Hospital, Rawalpindi
  • Dr. Wajeeha Shafique Qadir Ali Hospital, Layyah
Keywords: Abortion, Spontaneous, Obesity, Pregnancy, Smoking

Abstract

Background: Risk factors for a normal first-trimester transition to a long-term pregnancy are well established. The common risk factors include increasing maternal age, pre-pregnancy body mass index, and low level of serum progesterone. Recently, lifestyle factors such as caffeine intake, exercise, stress, exposure to smoking, and alcohol consumption have been implicated as risk factors.

Objective: To determine the frequency of different maternal pre-pregnancy modifiable risk factors for miscarriages.

Methods: A cross-sectional descriptive study was done at the Department of Obstetrics and Gynecology, Benazir Bhutto Hospital, Rawalpindi from October 2022 to April 2023. Total 234 women were presented with miscarriage and 18 to 40 years of age were included. Various pre-pregnancy modifiable risk factors (drinking coffee/tea No. of cups/day, obesity, smoking, short inter-pregnancy interval, iron deficiency anemia, genital infections, hyperthyroidism and hypothyroidism) were studied.

Results: The patient’s mean age was 27.72±4.29 years. 65.4% patients were between the age of 18 to 30 years. The frequency of different maternal pre-pregnancy modifiable risk factors for miscarriages were as follows; drinking coffee ≥ 5 cups/day was 64.9%, obese 45.3%, smoking 29.9%, short interpregnancy interval 33.8%, iron deficiency anemia 38.5%, genital infections 22.2%, hyperthyroidism 15.4% and hypothyroidism was 9.4%.

Conclusion: This study concluded that there is significant impact of modifiable pre-pregnancy risk factors on the high incidence of miscarriages.

Author Biographies

Dr. Faiza Murtaza, Ahmed Medical Complex, Rawalpindi

FCPS (Obstetrics and Gynaecology),

Consultant Gynecologist

Dr. Zaib un Nisa, Medical Frequency and Healthcare Clinic, DG Khan

FCPS (Obstetrics and Gynaecology),

Consultant Gynecologist

Dr. Sidra Anam, Tehsil Headquarter Hospital (THQ) Hazro, Dist. Attock

FCPS (Obstetrics and Gynecology),

Consultant Gynecologist

Dr. Fouzia Baluch, Shareef Medical Centre, Multan

FCPS (Obstetrics and Gynaecology),

Consultant Gynecologist

Dr. Sidra Kiran, Medicsi Hospital, Rawalpindi

FCPS (Obstetrics and Gynecology),

Consultant Gynecologist

Dr. Wajeeha Shafique, Qadir Ali Hospital, Layyah

FCPS (Obstetrics and Gynaecology),

Consultant Gynecologist

Published
2024-05-28
Section
Original Articles