Zulkefli, Aznoraini
(2017)
A retrospective study of miscarriages at Hospital USM from January 2011-December 2015.
Masters thesis, Universiti Sains Malaysia.
Abstract
Background: Miscarriage is a common early pregnancy complication. Until now there
are still no local data regarding sociodemographic and clinical characteristics of
miscarriages. This study addressed these issues by looking into five years of miscarriage
cases at Hospital Universiti Sains Malaysia.
Methodology: 230 cases that fulfil the criteria were selected randomly from all 736
cases of miscarriage treated at HUSM from the year 2011 – 2015, and all important data
such as demography, reproductive profile, diagnosis or type of miscarriage, presenting
symptoms, outcome were taken for analysis.
Results: The proportion of miscarriage in the year 2011 – 2015 ranged between 1.01-
2.07%. The commonest type was incomplete miscarriage, followed by missed
miscarriage, complete, threatened and inevitable miscarriage. Regardless of the type of
miscarriage, vaginal bleeding was the most frequent presenting symptoms. Most of the
cases were first-trimester miscarriages which frequently presented with incomplete
miscarriage while second-trimester miscarriage presented mostly with missed
miscarriage. There was no significant difference between first and second trimester
miscarriages in term of age, BMI, marital status, occupational status, parity and history
of miscarriage. Only 26 patients had complication related to miscarriage and most of
them complicated with significant bleeding. Factors found to be associated with
miscarriage in this study were age group 25-29-year-old, normal BMI, parity 1-3 and
without any history of miscarriage.
Conclusion: The proportion of miscarriage in HUSM was low. Further study in
multiple centres may gain beneficial. Continuous education regarding preparation for
optimum health condition before pregnancy must be promoted.
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