The Prevalence of Fetal Losses at Mansoura University Hospitals (Observational, Cross-Sectional Study)

Background: A pregnancy loss (PL) is devastating for the parents, and knowledge of why the foetus died can be useful in several ways. It may help the parents to cope with the loss of their expected child, let them and the clinicians know whether or not they could have done anything to avoid the foetal demise. Objectives: To determine the prevalence of pregnancy loss after 12 weeks of gestation at Mansoura university hospitals. Patients and methods: The study was conducted at the Department of Obstetrics and Gynecology, Mansoura University Hospitals, Mansoura, Egypt, within a period from January 2022 to December 2022. This study included all gravid women who had lost their pregnancy after 12 weeks of gestation and who were presented to Mansoura University Hospitals. Results: The prevalence of pregnancy loss among females beyond 12 weeks' gestation was 4.8%. The prevalence of associated comorbidities was 7.5%, 17.4%, 3.3%, 3.6%, 3%, 0.9%, 0.9%, and 1.8% for DM, HTN, thyroid disease, asthma, cardiac disease, SLE, APS, and thrombophilia, respectively. Conclusion:The current study concluded that pregnancy loss after the first trimester although not common, but it stills represent a major burden on the healthcare system. Some factors were shown to be associated with abortion including older age, multiple pregnancies, multiple deliveries, previous NVD, previous Cs, previous pregnancy loss, SLE, APS, thrombophilia and previous evacuation of abortion. Some factors were shown to be associated with intrauterine fetal death including longer duration of pregnancy, multiple pregnancies, DM and HTN.