Observational Study of Patients Presenting With First Trimester Bleeding
Observational Study of Patients Presenting With First Trimester Bleeding
Keywords:
Bleeding, Miscarriage, Incomplete abortion, Ectopic Pregnancy, MTP pillsAbstract
Background: Vaginal bleeding in a first trimester is a common complaint of patients attending obstetric OPD. About one half of those who bleed will miscarry. Several studies have been reported an association between first trimester bleeding and abnormal pregnancy outcome. Methods: This is an observational study conducted at SCL Hospital Ahmedabad, between January 2017 to June 2017 for six months. 86 women who attended the out-patient department with the complaint of bleeding per vagina in the first trimester were taken for the study. Results: Among these 86 cases, incomplete abortion in 33 cases of which 20 were self-induced abortions by MTP pills, 26 were threatened abortions, 14 missed abortions, 11 spontaneous miscarriages and 2 cases of ectopic pregnancy were reported. Conclusion: Bleeding is a common complaint in the first trimester of pregnancy. The commonest cause is incomplete abortion followed by threatened abortion. Self-consumption of MTP pills is a major cause of incomplete abortion in these patients. [Bhavna M NJIRM 2017; 8(6):8-10]
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