Predicting Adverse Maternal and Neonatal Outcome in Women with Threatened Abortion and Patient Compliance to Its Management

Mansour F.^1, , Yousif A.² and Doaa S. Farag¹

¹Maternal and Newborn Health Nursing Department, Faculty of Nursing, Helwan University, Egypt

²Woman’s Health and Midwifery Nursing Department, Faculty of Nursing, Mansoura University, Egypt

Cite this paper:
Mansour F., Yousif A. and Doaa S. Farag. Predicting Adverse Maternal and Neonatal Outcome in Women with Threatened Abortion and Patient Compliance to Its Management. American Journal of Nursing Research. 2018; 6(6):562-567. doi: 10.12691/ajnr-6-6-26

Abstract

Threatened abortion is associated with increased incidence of adverse maternal and neonatal outcome. Enhancing patient adherence to the management of this problem is tremendously needed. Aim: to assess maternal and neonatal outcome in women with threatened abortion and determine the level of patient compliance to its management. Subjects and Methods: Prospective and descriptive design was utilized in this study, which was conducted at labor and delivery unit of obstetrics and gynecology department in Mansoura University Hospital, 200 pregnant women diagnosed as having threatened abortion was legible to be selected for the study. Data collection includes; Structured Interviewing Questionnaire sheet, assessment, maternal follow up and patient level of compliance sheets. Results: Findings revealed that 70 (35.0%) women were exposed to different kinds of abortion and 130 (65.0%) continued the pregnancy until delivery. Where they encountered various antenatal complications, 67.7% underwent CS and 5.4% had severe birth asphyxia (0-3) at the 5^th minute. Moreover, the majority of women did not adhere to the instruction given about measures used to control infection, reporting danger signals and maintaining good prenatal care (87.0%, 87.0% and 81.0% respectively). Conclusion: The majority of patients continued pregnancy until term and the rest was exposed to spontaneous abortion. Most of them were exposed to adverse maternal and neonatal outcome and the majority showed non-adherence to the prevention and management of threatened abortion. Recommendations: women with threatened abortion should be instructed about the adverse maternal and neonatal outcome of their condition and given an explicit counseling concerning compliance with healthy life style.

Keywords:
threatened abortion patient compliance adverse maternal and neonatal outcome

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