Publication:

The study of outcome of pregnancy with first trimester vaginal bleeding and its complications

Background To study the pregnancy outcome of the first trimester vaginal bleeding and to assess the maternal pregnancy complications associated with this pregnancy.

Method The prospective observational study was conducted in the department of obstetrics and gynecology, L.L.R.M. medical college and associated SVBP hospital, Meerut during one year period from June 2020 to May 2021 with the sample size of 100 patients who fit the inclusion criteria were included in the study after obtaining an informed and written consent.

Results Among the patients presented with first trimester vaginal bleeding, ectopic pregnancy was noted in 7%, hederiform mole in 3%, 17% aborted in the first trimester itself, 73% of patients that continued pregnancy after first trimester 3% had second trimester miscarriage.70% who reached beyond viability gestational age 52% delivered vaginally, out of which 27.14% had preterm delivery, 18% were delivered by caesarian section. The adverse perinatal outcome noted in the study were LBW (23, 32.85%), preterm birth (19, 27.14%), NICU admission (25, 35.71%), FGR (8, 11.43%) and intrauterine fetal death (2, 2.86%). The   maternal complication associated with pregnancy noted in the study were anemia (29,54.72%), PIH (6, 11.32%), placenta previa (5, 9.43%), placental abruption (3, 5.66%) and PPROM (8, 15.09%).

Conclusions There is positive correlation between first trimester vaginal bleeding and adverse feto-maternal outcome. The fetus is in increased risk of LBW, Preterm birth, NICU Admission, FGR and fetal death. The patients are in increased risk of having maternal complication like anemia, PIH, Placenta previa, Placental abruption and PPROM.