Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
First-trimester vaginal bleeding predicts future maternal and fetal complications. But, these studies have been explored to a lesser extent, especially from western India. This is a single-centred prospective observational study of pregnant women with vaginal bleeding in the first trimester (<12 weeks of gestation) conducted over 18 months. Consecutive pregnant women were included by convenience sampling. Patients were followed up till delivery to study perinatal outcomes. Sixty-nine pregnant women with a Mean±SD age of 24.4±4.8 years, most 48 (69.6%) aged between 20-29 years were included. Majority received above primary schooling 52 (75.4%), had a lower middle socioeconomic status 32 (46.4%), were unemployed/housewives 39 (56.5%) and 37 (53.6%) were primigravida. The type of bleeding was spotting in 35 (50.7%) patients and pregnancy could be continued in 47 (68.1%) patients. Unfortunately, 22 (31.9%) patients underwent termination in the first trimester: 39 (56.5%) and 8 (11.6%) had unfavourable and favourable outcomes, respectively. The most common complication was preterm labour in 12 (17.4%), followed by preterm premature rupture of membranes in 9 (13%) patients. The commonest neonatal complication was preterm delivery in 23/47 (48.9%), requiring NICU admission, followed by IUGR in 8/47 (17%). No significant association was seen between age, literacy/socioeconomic status, occupation and pregnancy outcome. An increased proportion of favourable pregnancy outcomes was seen in deliveries at 37-42 weeks (p<0.001). Pregnant women presenting with first-trimester vaginal bleeding are at high risk for loss of pregnancy and adverse outcomes in terms of preterm birth and need for NICU care. Pregnancy loss needs future attention in pregnancy planning. All pregnant women should be counselled regarding such complications and the need for emergency medical care.
How to cite this article:
Kirti Bendre , Shweta Maheshkar , Isha Kadam and Sulbha Gejele . Assessment of Maternal and Perinatal Outcomes among Pregnant Women with First-Trimester Vaginal Bleeding.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.139.146
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.139.146