Abstract: Reproductive loss such as miscarriages and perinatal deaths, is a significant emotional and physical event for couples, with implications for their future reproductive performance. This study examines pregnancy outcomes in women with a history of spontaneous abortion or perinatal loss compared to those with no prior pregnancies.
Methods: A retrospective cohort design included 200 women with previous reproductive losses (Study group) and 200 women with no prior pregnancies (Control group).
Results: Key outcomes analyzed were ectopic pregnancies, spontaneous abortions, intrauterine growth restriction (IUGR), preterm delivery, low birth weight, perinatal mortality, and neonatal health indicators such as Apgar scores. The study group demonstrated significantly higher rates of adverse outcomes, including increased rates of preterm delivery (22.5% vs. 8.6%), low birth weight (13.2% vs. 3.03%), and perinatal deaths (15.3% vs. 4.04%) compared to the control group. Additionally, within the study group, women with no live births faced an elevated risk of complications, such as pregnancy-induced hypertension and antepartum haemorrhage.
Conclusion: These findings highlight the need for enhanced prenatal care and monitoring strategies for women with prior reproductive loss to improve maternal and neonatal outcomes.
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