FACTORS INFLUENCING ON WOMEN’S PREFERENCE FOR ALTERNATIVE MANAGEMENT OPTIONS IN FIRST TRIMESTER MISCARRIAGE

1.Sangeetha Mahesan , 2.Kulasingam Sureshkumar


Miscarriage is one of the most common complications associated with early pregnancy. The optimal strategy for managing first trimester miscarriage remains uncertain. Management options for miscarriage fall into three groups medical, surgical, or expectant. Descriptive crosssectional hospital-based study design was conducted in Teaching Hospital Jaffna. Patients managing for first trimester incomplete and missed miscarriage were considered as study population and multiple pregnancy with vanishing twin was excluded. Sample size was 497. Interviewer administered questionnaire was used as study instrument. Data analysis was facilitated by SPSS version 25.0. Ethical clearance was obtained from Ethics review committee Faculty of Medicine university of Jaffna. Majority of the study participants were above 31 years of age. (N=37;75.4%). Majority of the study participants were house wives. Study participants were not aware regarding application of their preferences while deciding on the treatment options following a miscarriage. Considerably higher number of participants had selected medical management options. Minimum preference was observed for expectant management procedures. While taking decisions relevant to miscarriages, highest influence was created by the required period of hospitalization time for treatment. Significant number of participants were affected by the ability to achieve a normal day to day life style within a minimum period of time. Deficiencies are identified relevant to knowledge and awareness regarding available treatment options and their complications following a miscarriage. Females should be educated regarding handling a miscarriage situation during the pre-pregnancy period. counselling session should be conducted regarding the available management options of miscarriages and the skills required to face the relevant challenges..

2023-04-01.

Keywords Miscarriages, Expectant, Management, Medical, surgical .

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