- Elham Neisani Samani
- - Gyn. & Obs. Ward, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
- Leila Amini
- - Midwifery department, Nursing & Midwifery School of Iran University of Medical Sciences, Tehran, Iran
Received: 12/19/2009 Accepted: 2/6/2010 - Publisher : Avicenna Research Institute |
|
Related Articles |
|
Other Format |
|
|
|
Abstract
Introduction: Although numerous studies have depicted the association between adverse pregnancy outcomes and the future fertility status, this relationship has not been clearly outlined. A positive past medical history for adverse pregnancy outcomes, such as induced abortion, ectopic pregnancy, postpartum infection, premature rupture of membranes can affects women’s fertility prospects. The main goal of this study was to determine the relationship between previous pregnancy outcomes and secondary infertility. Materials and Methods: This retrospective case-control study was done on 182 (92 infertile and 90 pregnant women), 15 – 45 years old patients during a six-month period in 2008 – 2009. The study took place in Imam Djavad Hospital in Naghan, Chaharmahal Bakhtiari province, in Iran. The outcomes of prior pregnancies such as abortion, ectopic pregnancy, postpartum infection, prolonged labor, premature rupture of membranes, manual removal of the placenta and postpartum curettage were compared to those of the controls. The data were analyzed by t-test and chi-square. Results: In the case group, induced abortion and postpartum infection were significantly higher than the control group (p < 0.05). No significant differences were found between the two groups regarding a history for spontaneous abortion, ectopic pregnancy, prolonged labor, premature rupture of membranes, manual removal of placenta or postpartum curettage. Conclusion: A past medical history of induced abortion and postpartum infection can negatively affects prospective pregnancy outcomes. By educating women and health care providers, we may help prevent the detrimental effects of these disease states on women’s future fertility status.
Keywords:
Induced abortion, Miscarriage, Postpartum infection, Pregnancy outcome, Secondary infertility To cite this article:References
- Nojoumi M, Ashrafi M, Kouhpayehzadeh Esfahani J. [Study of couples infertility in the west of Tehran, in the year of 2000]. J Iran Univ Med Sci. 2002;8 (27):633-41. Persian. [Abstract]
- Rohani Z, Naroinejad M. [Evaluation of the prevalence of fallopian tube abnormality in primary and secondary infertility based on hystrosalpingography findings]. J Iran Univ Med Sci. 1997;53:105-11. Persian. [Abstract]
- Karimpour A, Esmaeelnezhad Moghadam A, Moslemizadeh N, Mousanezhad NA, Peyvandi S, Gahandar M. [Incidence and main causes of infertility in patients attending the infertility center of Imam khomeini hospital in 2002-2004]. J Mazandaran Univ Med Sci. 2005;15(49):44-9. Persian.
- Zeeman GG, Wendel GD Jr, Cunningham FG. A blueprint for obstetric critical care. Am J Obstet Gynecol. 2003;188(2):532-6. [PubMed]
- Thaddeus S, Maine D. Too far to walk: maternal mortality in context. Soc Sci Med. 1994;38(8):1091-110. Review. [PubMed]
- Hamy AS, Mayenga JM, Grefenstette I, Kerneis S, Belaisch-Allart J. [A study comparing previous induced abortion rates in populations of newly delivered women and infertile women]. Gynecol Obstet Fertil. 2008;36(4):395-9. French. [PubMed]
- Okonofua FE, Onwudiegwu U, Odutayo R. Pregnancy outcome after illegal induced abortion in Nigeria: a retrospective controlled historical study Afr J Med Med Sci. 1994;23(2):165-9. [PubMed]
- Ego A, Subtil D, Cosson M, Legoueff F, Houfflin Debarge V, Querleu D. Survival analysis of fertility after ectopic pregnancy. Fertil Steril. 2001;75(3): 560-6.
- Tzonou A, Hsieh CC, Trichopoulos D, Aravandinos D, Kalandidi A, Margaris D, et al. Induced abortions, miscarriages, and tobacco smoking as risk factors for secondary infertility. J Epidemiol Community Health. 1993;47(1):36-9. [PubMed]
- Orji EO. Comparative study of the impact of past pregnancy outcome on future fertility. Singapore Med J. 2008;49(12):1021-4. [Abstract]
- Saraswat L, Porter M, Bhattacharya S, Bhattacharya S. Caesarean section and tubal infertility: is there an association? Reprod Biomed Online. 2008;17(2):259-64. [PubMed]
- Romero Ramos R, Romero Gutiérrez G, Abortes Monroy I, Medina Sanchez HG. [Risk factors associated to female infertility]. Ginecol Obstet Mex. 2008;76(12):717-21. Spanish. [PubMed]
- Bako AU, Eniola OA. Risk factors for puerperal sepsis at Ile-Ife. Nigeria. Niger J Med. 1998;7:157-60.
- Okumu CV, Kamau RK, Rogo KO. Past reproductive and sexual characteristics of women with tubal infertility at Kenyatta National Hospital. East Afr Med J. 1990;67(12):864-72. [PubMed]