Evaluation of perinatal outcome in women presented with first trimester vaginal bleeding: our experience

Rai, Priyanka; Kumari, Girija; Kumari, Kalpana; Jaiswal, Deepshikha

doi:10.18203/2320-1770.ijrcog20170500

Cited by 3 publications

(4 citation statements)

References 12 publications

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“…In study conducted by Rai P et al, 70% had spotting, 20% had moderate bleeding followed by heavy bleeding (10%). 24 This is in accordance with the study of Patel NG et al, majority (68%) had spotting, 22% had moderate bleeding followed by heavy bleeding (10%). 18…”

Section: Bleeding Characteristicssupporting

confidence: 91%

A study of maternal outcome in first trimester bleeding

Bala¹,

Kaur²,

Anand³

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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Background: The outcome of first trimester vaginal bleeding is a matter of debate. Vaginal bleeding is common and potentially alarming symptom in early pregnancy. First trimester bleeding is a common occurrence. It has been estimated to occur in 15-25% of all pregnant women. Objective of this study was to evaluate the various maternal outcomes in women with first trimester bleeding.Methods: This prospective observational study was conducted in the postgraduate department of obstetrics and gynecology, SMGS Hospital, Government Medical College, Jammu, Jammu and Kashmir, India. The study included 200 pregnant women presented with first trimester bleeding. All the women were followed prospectively till delivery and early postpartum period for various outcomes such as preterm delivery, PROM, PPROM, anemia, oligohydramnios, placental abruption, placenta previa and postpartum hemorrhage.Results: Out of 200 patients studied, 19% patients aborted. Ectopic and molar pregnancy was seen in 5% and 1.5% patients respectively. Out of 74.5% patients who continued pregnancy, maternal complications included anemia (52%), PROM (14.09%), oligohydramnios (6.71%), placenta previa (5.37%), PPH (4.03%), PPROM (2.68%), preeclampsia (2.01%), gestational hypertension (1.34%), abruption and post-datism (0.67% each).Conclusions: From the results of this study, it can be concluded that first trimester bleeding can be a predicting factor in terms of mother and infant consequences of pregnancy and it is necessary to increase the knowledge of pregnant women in this regard for closer care.

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Section: Bleeding Characteristicssupporting

confidence: 91%

A study of maternal outcome in first trimester bleeding

Bala¹,

Kaur²,

Anand³

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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“…In study conducted by Patel et al, (2014), incidence of LBW and IUGR was 35.9% and 14.1% respectively. In study conducted by Patel et al, (2015) and Rai et al, (2017), IUGR was found in 13.6% and 14% of cases respectively. The mean birth weight in our study was 2.62 ±0.48 kg.…”

Section: Low Birth Weightmentioning

confidence: 88%

“…In our study, majority of patients had spotting (61%), light bleeding (29%) followed by heavy bleeding (10%). In study conducted by Rai et al, (2017), 70% had spotting, 20% had moderate bleeding followed by heavy bleeding (10%). This is in accordance with the study of Patel et al, (2014), majority (68%) had spotting, 22% had moderate bleeding followed by heavy bleeding (10%).…”

Section: Bleeding Characteristicsmentioning

confidence: 95%

Study of Perinataloutcome in Patients Presenting With First Trimester Bleeding

Bala¹,

Wakhloo²,

Tabassum³

et al. 2020

Indian Journal of Scientific Research

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Fist trimester is very crucial period of pregnancy having high risks of pregnancy losses. The occurrence of first trimester bleeding is approximately 25% of all pregnancies. Vaginal bleeding in first trimester is a common complaint. Among these 200 patients, 19% patients aborted. Ectopic and molar pregnancy was seen in 5% and 1.5% patients respectively. Healthy fetus was present in 74.5% cases. Among abortion, missed abortion was seen in 9%, inevitable abortion in 2%, incomplete abortion in 7.5%, and complete abortion occurred in 0.5% cases. Fetal outcome included LBW (28.19%), preterm delivery (21.48%), IUGR (13.42%), fetal distress (11.41%), MSAF (7.38%), malpresentation (2.01%), congenital anomaly (1.34%), IUD and still birth (0.67% each).Neonatal outcome included NICU admission (12.08%), birth asphyxia (5.36%), RDS (4.03%), neonatal sepsis and neonatal jaundice (1.34% each). We concluded that patients with first trimester bleeding are at increased risk for spontaneous pregnancy loss and adverse fetal outcomes like preterm, intrauterine growth restriction, low birth weight, fetal distress, NICU admission and rarely congenital malformation where as there was no significant increase in perinatal mortality. So by knowing the etiology and fetal outcome of first trimester vaginal bleeding, we can predict the complications which will occur in later pregnancy and manage it properly.

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“…The outcome is likely to be affected by the gestational age of bleeding, cause of bleeding and severity of bleeding. [1] It is also known that maternal age, systemic diseases such as diabetes mellitus, hypothyroidism, infertility treatment, thrombophilia, maternal weight and uterine structural anomalies increase the risk of abortus imminens. [2] The purpose of the study was to observe the effect of first trimester bleeding on maternal & foetal outcomes.…”

Section: B a C K G R O U N Dmentioning

confidence: 99%

A Study of Maternal and Foetal Outcome in Pregnant Women with History of First Trimester Vaginal Bleeding

Umeshchandra¹,

Patil²

2022

jemds

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BACKGROUND First trimester vaginal bleeding is an obstetric high-risk, early registration of pregnancy regular antenatal visits and good awareness to the pregnant women and their family members about first trimester vaginal bleeding and the sequelae and the early and remote obstetric and neonatal outcome are needed. The purpose of the study was to observe the effect of first trimester bleeding on maternal & foetal outcomes. METHODS This study involved all women attending the antenatal clinic at the Department of Obstetrics and Gynaecology with a history of vaginal bleeding in the first trimester or the second trimester or third trimester with prior history of first trimester bleeding at Basaveshwar and Sangameshwar Hospital, attached to MRMC, Kalaburagi. It included a total of 100 singleton pregnant women with vaginal bleeding in the first trimester of pregnancy that was confirmed ultrasonographically. Patients were closely observed and follow-up done 2 weekly up to 36 weeks and weekly after that till delivery. The maternal and foetal outcomes were studied. RESULTS In the present study, first trimester vaginal bleeding was seen maximum in the age group of 21-25 years about 47 %, seen more in Multigravida 52% than primigravida 44% and 4% in Grandmultipara. Maternal adverse outcomes such as abruption in 8 % of cases, placenta pravia in 15% of cases, placenta accreta in 2 % of cases, preeclampsia in 12 % of cases and PROM in 18 % of cases and preterm labour in 21 % of cases were observed. Among 63 live births, 38 were term babies, 19 were early preterm, 2 were late preterm babies, and 8 were IUGR babies. CONCLUSIONS In the first trimester, vaginal bleeding is one of the predictors of poor maternal and foetal outcomes later in pregnancy. Both maternal and foetal outcomes are studied considering pregnant women with first-trimester vaginal bleeding as a high-risk category. Proper evaluation of a pregnant woman with first-trimester vaginal bleeding, regular antenatal care, methodical evaluation of bleeding and regular follow-up with the lookout for maternal and foetal complications and awareness to the woman and family members and knowledge about warnings signs in pregnancy to be explained. Proper clinical examination and ultrasonographic evaluation & timely obstetric consultation and interventions play an important role in the management of patients with first-trimester vaginal bleeding.

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Evaluation of perinatal outcome in women presented with first trimester vaginal bleeding: our experience

Cited by 3 publications

References 12 publications

A study of maternal outcome in first trimester bleeding

A study of maternal outcome in first trimester bleeding

Study of Perinataloutcome in Patients Presenting With First Trimester Bleeding

A Study of Maternal and Foetal Outcome in Pregnant Women with History of First Trimester Vaginal Bleeding

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