Publication:

The effect of first-trimester bleeding on the newborn birth weight: a retrospective study

Background Vaginal bleeding is a common complication during pregnancy and can cause some adverse pregnancy outcomes. The objective of this study is to evaluate the effect of first trimester bleeding in the current pregnancy on newborns Apgar.

Methods A retrospective study was conducted on pregnant women who delivered at Shahid Sadoughi hospital in Yazd, Iran, between 2022 and 2023. They were singleton, nulliparous, non-diabetic women. Patients were categorized into two groups: exposure group (bleeding group) and control group (non-bleeding group), by using data from archived files. Apgar recorded in the newborn's file at the first minute and at the fifth minute after birth in both groups was noted.

Results A total of 992 women were included in this study, with 218 exposure and 774 control groups. First minute Apgar score <7 was significantly increased in bleeding group. (22.5% versus 6.2%, p=0.02), while the five-minute Apgar score <7 did not increase significantly in this group.

Conclusion This study showed, there is positive correlation between first trimester vaginal bleeding and low first minute Apgar score in newborns.