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Published on: August 4, 2021
Paternal factors in spontaneous first trimester miscarriage
1Dr. Riffat Jaleel, MBBS, FCPS, Assistant Professor, Obstetrics & Gynaecology, Unit II, Dow Medical College & Civil Hospital, Dow University of Health Sciences, Karachi, Pakistan.
Paternal age over 35 significantly increases the risk of spontaneous first-trimester miscarriage. This study highlights paternal age as a key factor in early pregnancy loss, emphasizing its importance in reproductive health.
Area of Science:
- Reproductive Medicine
- Obstetrics & Gynecology
- Epidemiology
Background:
- First-trimester miscarriage is a common pregnancy complication.
- Paternal factors are increasingly recognized as potential contributors to adverse pregnancy outcomes.
- Understanding these factors can aid in risk assessment and prevention strategies.
Purpose of the Study:
- To investigate the association between paternal age, tobacco use, and genital tract infections with the risk of spontaneous first-trimester miscarriage.
- To identify significant paternal risk factors for early pregnancy loss.
Main Methods:
- A case-control study involving 200 women with miscarriage and 400 controls.
- Data collected on paternal factors including age, tobacco use, and genital tract infections.
- Logistic regression analysis was employed to determine the significance of paternal factors.
Main Results:
- Paternal age over 35 years was significantly associated with an increased risk of first-trimester miscarriage (p=0.000).
- Genital tract infection in fathers showed a borderline significant association (p=0.043).
- Paternal age >35 years remained the sole significant predictor in the logistic regression model.
Conclusions:
- Paternal age exceeding 35 years is a significant risk factor for spontaneous first-trimester miscarriages.
- The findings underscore the importance of paternal age in early pregnancy outcomes.
- Further research may explore the mechanisms linking advanced paternal age to miscarriage.
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