Risk factors of abortion among pregnant women in Almukalla mch hospital, Hadhramout, Yemen

Abstract EN

Background: Abortion is a common health problem in our community and worldwide.

However, there are a lot of contradictions among the studies regarding the risk factors of this problem.

Objective: the aim of this study is to identify the risk factors of abortion in our locality.

Patients and Methods: This is a case-control study conducted in the period from November 2007 to April 2008.

448 pregnant women were enrolled in the study.

They were classified into 224 women with pregnancy loss at or less than 24 weeks of pregnancy as study group, and 224 women who completed their pregnancy as control group.

Data were collected by using questionaire about personal data, economic status, number of gravidity and parity, drug use, special habits and medical diseases in relation to abortion.

The data were analyzed manually and by using excel program and special statistical elements (OR, CI 95% and P-value).

Results: In respect to risk related to age, the significant risk is found in age group more than 35 years old; P value = 0.00..The probability of abortion increased if the number of gravidity is 2-5 or more than 5; P value = 0.004, 0.001 respectively, and the number of parity has significant association with abortion if equal or more than 5; P value = 0.00 .

Infection with toxoplasmosis has strong association with abortion ; OR = 1.85 , P value = 0.002.Other medical diseases have no significant association with abortion like thyroid disease; OR = 1.51 , P value = 0.6 , diabetes mellitus; OR = 1.3, P value = 0.6), hypertension; OR = 1.18 , P value = 0.6 and urinary tract infection; OR = 0.61, P value = 0.2.

Same results were obtained about leuteal phase support drugs; P value 0.09.

The economic status has no significant association with abortion (enough and incur, P value = 47.5, 0.32 respectively).

Special habits like Qat chewing, smoking and coffee drinking have no association with abortion ; P value >0.05 for all of them.

Conclusion :Age more than 35 year old , infection with toxoplasmosis in pregnant women , number of gravidity more than 2 , and number of parity equal or more than 5 have strong association with abortion .

Economic status, other medical diseases, luteal phase support drugs and special habits like Qat chewing, smoking and coffee drinking have no significant association.