Pregnancy Outcome Of Bleeding Per Vaginum In First Trimester

Abstract

Background: Bleeding p/v is a threat or a warning sign for continuation of present pregnancy, which can be converted into a normal pregnancy by early detection and intervention.This study was conducted to determine the obstetric outcome in cases presented with bleeding per vaginum in first trimester of pregnancy. Method: This was a prospective study conducted on the patients admitted in Maternity wards of L.G. hospital, Obstetrics and Gynaecology department, AMC MET Medical College, Ahmedabad. The cases were studied and observed with detailed history(menstrual and obstetric) of patients and clinical examination were carried out and detailed investigations including ultrasonography were done.Patients were offered different treatment according to etiological features. Cases were followed up to term and also in early perinatal periods. Results: The data were compiled and evaluated. In our study most of the patients had bleeding PV due to abortion(98%).74 patients had threatened abortion.24 patients had aborted their pregnancy due to various different type of abortion. Out of 74 patients 14 were delivered preterm. 30 subjects developed complications in which most common complication were preterm delivery and PROM followed by pregnancy induced hypertension and placenta previa. Conclusions: By knowing the etiology fetomaternal outcome of bleeding per vaginum in first trimester , we can predict the complication which will occurs in later pregnancy so we can manage it properly. [Kansara T Natl J Integr Res Med, 2019; 10(2):52-54]