A Prospective Study on Pregnancy Outcome in Patients with First Trimester Vaginal Bleeding in a Tertiary Care Teaching Hospital

Authors

  • Alka Agarwal Assistant Professor, Department of Obstetrics & Gynaecology, Rohilkhand Medical College and Hospital, Bareilly. Author
  • Divya Mittal Assistant Professor, Department of Obstetrics & Gynaecology, Rohilkhand Medical College and Hospital, Bareilly. Author

DOI:

https://doi.org/10.21276/bzghpg18

Keywords:

Vaginal bleeding, first trimester, pregnancy outcome

Abstract

Background: Bleeding is one of the most common obstetric problems. Sometimes it results emergency admissions and unscheduled ultrasound examinations in the first trimester. It is reported that around 25% of all pregnant women complain of vaginal bleeding in their first trimester.

Methods: Total 100 cases were included in this study. This study was conducted in Department of Gynaecology. The duration of study was over a period of one year.

Results: In this study, we were included 100 cases. Among all cases 40 cases were belonged to 21-25 age group followed by 26-30 (30) age group. Remaining cases were from 31-35 (18) & 18-20 (13) age groups. 32 cases were found viable pregnancy & rest was having non-viable pregnancy. Pregnant women with complete abortion and threatened abortion (n=42) were managed conservatively. Pregnant with complete abortion were discharged with hematinic and those with threatened miscarriage (n=32) were managed conservatively with restricted activity, regular prenatal care.

Conclusions: This study concludes that it is important to make aware the pregnant women in this regard for intensive care.

Downloads

Download data is not yet available.

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):393-6.

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 2010;117:245–57.

Reem Hasan, Donna D. Baird, Amy H. Herring, Andrew F. Olshan, Michele L. Jonsson Funk, and Katherine E. Hartmann. Patterns and predictors of vaginal bleeding in the first trimester of pregnancy. Ann Epidemiol. 2010;20(7):524-31.

Basama FM, Crosfill F.The outcome of pregnancies in 182 women with threatened miscarriage. Arch Gynecol Obstet. 2004;270(2):86-90.

Dogra V, Paspulati RM, Bhatt S. First trimester bleeding evaluation. Ultrasound Q. 2005;21(2):69-85.

Deutchman M, Tubay AT, Turok D. First trimester bleeding. Am Fam Physician. 2009;79(11):985-94.

Falco P, Zagonari S, Gabrielli S, Bevini M, Pilu G, Bovicelli L. Sonography of pregnancies with first-trimester bleeding and a small intrauterine gestational sac without a demonstrable embryo.Ultrasound Obstet Gynecol. 2003;21(1):62-5.

Downloads

Published

19.03.2024

Issue

Section

ORIGINAL ARTICLES ~ Obstetrics & Gynaecology

Similar Articles

1-10 of 67

You may also start an advanced similarity search for this article.