Predictors of spontaneous abortion among reproductive-aged women at tertiary level hospital, Kathmandu

Authors

DOI:

https://doi.org/10.3126/jpahs.v8i1.36935

Keywords:

Predictors, Reproductive-aged Women, Spontaneous Abortion

Abstract

Introduction: Spontaneous abortion (SA) is one of the adverse outcomes during pregnancy, which is a challenge for maternal well-being. The present study aimed to analyze the predictors of SA among reproductive age women.

Method: A hospital-based case-control study was conducted at Patan hospital, Nepal. The consecutive sampling technique was used to select the cases (84) and a purposive sampling technique was used for controls (168) in a 1:2 ratio. Ethical approval was obtained. Data were collected through face to face interviews using a structured questionnaire. Descriptive and inferential statistics (Chi-square, Fisher exact test, and logistic regression) were used for analyzing the data.

Result: We found that previous history of abortion (OR=3.80, 95% CI=1.8-7.70), heavy lifting (OR=20.45, 95% CI =4.48-93.38), emotional disturbance (OR=10.06, 95% CI=1.06-96.96), health problems (fever of unknown cause and urinary tract infection) during pregnancy (OR=16.53, 95% CI=1.90-143.41), coffee intake (OR=0.36, 95% CI=0.20-0.63), unplanned pregnancy (OR=0.10,95% CI=0.04-0.22), preconception counseling/care not received (OR=6.48, 95% CI=2.18-19.21) were the significant predictors of SA among reproductive age women.

Conclusion: Our findings show that the previous history of abortion, heavy lifting, emotional disturbances, health problems, and coffee intake during pregnancy are the significant cause of SA; and preconception counseling and planned pregnancy are protective factors.

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Author Biographies

Khagi Maya Pun, Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal

Associate Professor, Lalitpur Nursing Campus, School of Nursing and Midwifery

Kalpana Silwal, Chitwan Medical College, Tribhuvan University, Bharatpur, Nepal

Associate Professor, Department of Nursing

Ambika Poudel, Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal

Professor, Lalitpur Nursing Campus, School of Nursing and Midwifery

Bimala Panthee, Patan Academy of Health Sciences, Lalitpur, Kathmandu, Nepal

Assistant Professor, Lalitpur Nursing Campus, School of Nursing and Midwifery

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Published

2021-04-29

How to Cite

Pun, K. M., Silwal, K., Poudel, A., & Panthee, B. (2021). Predictors of spontaneous abortion among reproductive-aged women at tertiary level hospital, Kathmandu. Journal of Patan Academy of Health Sciences, 8(1), 73–83. https://doi.org/10.3126/jpahs.v8i1.36935

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Section

Nursing Section: Original Articles