Pregnancy Outcome in Women Presenting with First Trimester Vaginal Bleeding

Document Type : Original Article

Authors

1 Department of Obstetrics and Gynecology, Mansoura International Hospital, Ministry of Health, Mansoura, Egypt.

2 Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

Abstract

Background: First trimester hemorrhage affects roughly 16 percent to 25 percent of pregnancies. The vast variety of reasons of early pregnancy bleeding, the risk of miscarriage, and the worry of having any life-threatening etiology puts pregnant women with first trimester hemorrhage in a state of uncertainty, leading to anxiety and sadness,
The Aim of the work: To determine the fate of vaginal hemorrhage in the first trimester of gestation,
Patients and Methods: This was A prospective cohort study was conducted for patients with 1ST pregnancy trimester vaginal bleeding admitted in the obstetrics and gynecology Department, El-Hussein University Hospital, separate into two groups: [Group I] [Case Group]; comprised 50 Subjects with 1st trimester vaginal bleeding and [Group II] [Control Group]; comprised 50 Subjects with no vaginal bleeding, Result: There is a substantial variation between the groups in term of placental abruption, placenta previa, antepartum hemorrhage, abortion, and postpartum hemorrhage,
Results: There is a substantial variation between the groups in term of placental abruption, placenta previa, antepartum hemorrhage, abortion, and postpartum hemorrhage,
Conclusion: In conclusion, first-trimester vaginal bleeding is a clinically important occurrence for obstetricians as a predictor of preterm birth and placental abruption in both the index and future pregnancies; these results add to the proof of the relationship between pregnancy problems and their recurrence. Our results showed significant difference between the groups regarding placental abruption, placenta previa, antepartum hemorrhage, abortion, postpartum hemorrhage, gestational age and birth weight between the studied groups.

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