A Prospective Study on Pregnancy Outcomes in First Trimester Vaginal Bleeding

Authors

  • Anil Bhalla Associate Professor, Department of Obstetrics and Gynecology, Govt Medical College, Saharanpur Author

DOI:

https://doi.org/10.21276/9pqhv114

Keywords:

Vaginal bleeding, Antenatal cases, First trimister

Abstract

Background: Bleeding in the first trimester is one of the most common causes for emergency admissions and unscheduled ultrasound examinations. Around 25% of all pregnant women in their first trimester 1,2 complain of vaginal bleeding. 

.

Methods: In this study we were included 503 antenatal cases. This study was conducted in Department of gynecology in Govt Medical College, Saharanpur. The duration of study was over a period of two year.

Results: This study we were included 503 cases. The higher prevalence of age group was seen in 21-30 age group (52.2%). Among all cases we found that 383 cases who aborted and 4 cases who continued with pregnancy in <6 gestational week. While 81 cases of 7-10 gestational week, out of 22 found with abortion & 59 with continued with pregnancy were found. >10 gestational week 17 cases seen who aborted & rest who continues with pregnancy. 

 

Conclusion: This study concludes that, first trimester vaginal bleeding predicts auxiliary maternal and fetal complications.

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References

Cunningham FG. Williams's Obstetrics.23rd Edition. New York:

McGraw-Hill; 2010: 825-9.

Nyberg DA, Filly RA, Filho DL, Laing FC, Mahony BS. Abnormal

pregnancy: early diagnosis by US and serum chorionic gonadotropin

levels. Radiology. 1986;158(2):3936.

Yazigi R, Saunders E, Gast M. Hormonal therapy during pregnancy.

Contemp Ob Gyn. 1991;61-78.

Williams MA, Mittendorf R, Lieberman E, Monson RR. Adverse

infant outcomes associated with first-trimester vaginal bleeding.

Obstet Gynecol. 1991;78(1):14-8.

Kutteh W, Carr B. Diagnosis and management of recurrent

pregnancy loss. Female Patient Q. 1993;18:85-98.

Mulik V, Bethel J, Bhal K. A retrospective population based study of

primigravida women on the potential effect of threatened

miscarriage on obstetric outcome. J Obstet Gynaecol. 2004

Apr;24(3):249-253

Saraswat L, Bhattacharya S, Maheshwari A, Bhattacharya

S.Maternal and perinatal outcome in women with threatened

miscarriage in the first trimester: a systematic review. BJOG

;117:245–57.

Batzofin JH, Fielding WL, Friendman EA effect of vaginal bleeding

in early pregnancy on outcome obstet Gynecol 1994:63(4):515-8

Weiss JL, Maone FD Vidaver J, Ball RH, Myberg DA, Comstock CH,

Hankins GD, Bertowitz RL,Gross SJ, Dugoof L, Timor-Tritsch IE, D’

Altoin ME; FASTER Consortium . Threatened abortion ; a risk factor

for poor pregnancy outcome, a population-based screening study.

AM J Obstet Gynaecol 2004; 190: 1091-7

De Sutter P. First trimester bleeding and pregnancy outcome in

singletons after assisted reproduction. Hum Reprod.

;21(7)1907-11.

Deutchman M, Tubay AT, Turok D. First trimester bleeding. Am Fam

Physician. 2009;79:985-94.

Thorstensen KA. Midwifery management of first trimester bleeding

and early pregnancy loss. J Midwifery Womens Health.

;45:481-97.

Harlev A, Levy A, Zaulan Y, Koifman A, Mazor M, Wiznitzer A et al.

Idiopathic bleeding during the second half of pregnancy as a risk

factor for adverse perinatal outcome. J Matern Fetal Neonatal Med.

;21:331-5.

Riahinejad S, Motamedi N, Saadat N, Mostofiniya M, Toghiani A.

Effect of vaginal bleeding in first trimester of pregnancy on

pregnancy outcomes. J Isfahan Med School. 2011;156:1.

Saraswat L, Bhattacharya S, Maheshwari A, Bhattacharya S.

Maternal and perinatal outcome in women with threatened

miscarriage in the first trimester: a systematic review. BJOG.

;117:245-57.

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Published

30.03.2024

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Section

ORIGINAL ARTICLES ~ Obstetrics & Gynaecology

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