A Case Control Study of Associated Factors with Abortion in Mosul City

Abstract

Background: a common undesirable outcome of pregnancy is abortion, mainly in the first trimester, and cause  complication both physical and psychological.  
Aim: To assess the associated factors with abortion in Mosul city. Patients  and  Method:A  case-control  study  done  at  Mosul  teaching hospitals for Obstetrics and Gyneacology (Al-Batool teaching hospital and Al-Khnsaa teaching hospital) .                                            The study took 6 months period  from 1st of February 2016 to 30th of July 2016.  
A total of 300 pregnant women were collected -150 cases (documented to be pregnant by pregnancy test or by ultrasound) and 150 controls. 
Results: A significant association has been found for the age of women <15  years  and ≥  40  years  with  abortion  with  p.  value  0.01  &  0.05 respectivly.  
A highly significant association was found in nullipara women (P=0.001) . History of  more than two abortion and a short inter-pregnancy interval (less than 6 months) all show a significant association with abortion (P. value of 0.002, 0.001 & 0.000  respectively . 
Hypertension,  Diabetes  and  history  of  fever  are  all  found  having  a significant relation with abortion with p. value of 0.025, 0.05 and 0.002 respectively.  
A highly significant relation has been found between history of congenital abnormalities  and  abortion  (p=0.000)  also  cervical  incompetence  and fibroid show a significant association with abortion with p. value of 0.004 and 0.002 respectively.  
 Absent  Antenatal  care  show  highly  significant  association  with  abortion(p.value0.000).Consanguinity  appeared  to  have  a  significant association with abortion with P. value of 0.001. 
Conclusions: consangeous marriage have risk of abortion and congenital abnormalities. Pregnancy at both extreme of age (less than 15 years and 40 years and more) has a more chance of abortion.