@article{Pun_Silwal_Poudel_Panthee_2021, title={Predictors of spontaneous abortion among reproductive-aged women at tertiary level hospital, Kathmandu}, volume={8}, url={https://www.nepjol.info/index.php/JPAHS/article/view/36935}, DOI={10.3126/jpahs.v8i1.36935}, abstractNote={<p><strong>Introduction</strong>: 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.</p> <p><strong>Method:</strong> 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.</p> <p><strong>Result:</strong> 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.</p> <p><strong>Conclusion:</strong> 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.</p>}, number={1}, journal={Journal of Patan Academy of Health Sciences}, author={Pun, Khagi Maya and Silwal, Kalpana and Poudel, Ambika and Panthee, Bimala}, year={2021}, month={Apr.}, pages={73–83} }