Quantitative assessment of pregnancy outcome following recurrent miscarriage clinic care: a prospective cohort study.
Rebecca ShieldsOmar KhanSarah Lim Choi KeungAmelia Jane HawkesAisling BarryAdam J DevallStephen D QuinnStephen D KeayTheodoros N ArvanitisJoseph ChilcotSiobhan QuenbyPublished in: BMJ open (2022)
639 (82%) women were followed up. 404 (83.4%) reported conception and 106 (16.6%) reported no pregnancy, at least 6 months following registration. Of those that conceived, 72.8% (294/404) had a viable pregnancy. Maternal smoking and body mass index (BMI) over 30 were significantly higher in those who did not conceive (p=0.001) CONCLUSIONS: Tommy's Net provides a secure electronic repository on data for couples with recurrent pregnancy loss and associated outcomes. The study identified that subfertility, as well as repeated miscarriage, maternal BMI and smoking status, contributed to failure to achieve live birth. Study findings may enable comparison of clinic outcomes and inform the development of a personalised holistic care package.
Keyphrases
- pregnancy outcomes
- body mass index
- preterm birth
- pregnant women
- healthcare
- palliative care
- primary care
- weight gain
- quality improvement
- type diabetes
- smoking cessation
- birth weight
- physical activity
- polycystic ovary syndrome
- gestational age
- metabolic syndrome
- electronic health record
- artificial intelligence
- weight loss
- skeletal muscle
- glycemic control