First trimester bleeding and pregnancy outcome

Kamble, Pradnya D.; Bava, Amarjeetkaur; Shukla, Mansi; Nandanvar, Y. S.

doi:10.18203/2320-1770.ijrcog20171414

Cited by 10 publications

(12 citation statements)

References 6 publications

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“…Contradictory to our study, Kamble et al found that incidence of abortion was higher in patients with first trimester bleeding in less than 6 weeks of gestation (77%) whereas it was significantly less after 10 weeks of gestation (7%). 24 Among the total number of our cases we found higher prevalence of several risk factors which contributed for early pregnancy losses were hypothyroidism, substance abuse, obesity, history of recurrent abortion, patient conceived after infertility treatments and IVF. Sharma et al found a significant association of thyroid function with an abortion rate of 14.63% in their study group, i.e., pregnant women with hypothyroidism (and 4.96% in their control group).…”

Section: Discussionmentioning

confidence: 58%

Fetomaternal outcome of pregnancy complicated by first and second trimester vaginal bleeding

Jakhetiya

Khan

Gupta

et al. 2021

Int J Reprod Contracept Obstet Gynecol

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Background: To determine the effects of vaginal bleeding occurring in first and second trimester on maternal and fetal outcome.Methods: The present prospective observational study was conducted at department of obstetrics and gynecology, Geetanjali medical college and hospital, Udaipur and 90 Patients with first and second trimester pregnancy (till 24 weeks of gestation) presented with the complaint of vaginal bleeding at antenatal clinic or emergency were included in this study.Results: In our study the result showed that bleeding in early pregnancy is associated with high rate of abortion (32.22%) in which first trimester abortion constitute 44.83% while second trimester abortion constitute around 55.17%. Outcome observed in women having bleeding with SCH 58.4% had caesarean delivery followed by 25% had vaginal delivery, 16.7% had preeclampsia, 8.3% had PPROM and 5.6% had APH. Similarly, in women having bleeding without SCH 64% had caesarean delivery followed by 36% had vaginal delivery, 12% had preeclampsia, PPROM and APH in 8% each and also women having bleeding with SCH, 37.1% had low birth babies, 22.8% had NICU admission and 8.6% had birth asphyxia. Similarly, in women having bleeding without SCH, 16% had low birth babies, 16% had NICU admission and 8% had birth asphyxia.Conclusions: First and second trimester vaginal bleeding is an independent risk factor for an adverse obstetric outcome and this risk factor should be taken into consideration when deciding upon antenatal surveillance and management.

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Section: Discussionmentioning

confidence: 58%

Fetomaternal outcome of pregnancy complicated by first and second trimester vaginal bleeding

Jakhetiya

Khan

Gupta

et al. 2021

Int J Reprod Contracept Obstet Gynecol

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show abstract

“…This is in concordance with the study of Kamble PD et al, in which vaginal delivery was 68.7% and LSCS was 31.3%. 33 Similarly, in study conducted by Patel NG et al, vaginal delivery was 59.5% and LSCS was 40.5% and most common indication of LSCS was fetal distress (60%). 18 In study conducted by Sarmalkar MS et al, rate of LSCS was 38% and most common indication was fetal distress (17%).…”

Section: Mode Of Deliverymentioning

confidence: 89%

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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“…A study by Manonmani and Nandini on 150 pregnant women with found that the majority cases with first trimester vaginal bleeding were in between 26-30 years (42%) [8] . A study by Kamble PD et al, found that the majority cases with first trimester vaginal bleeding were in between 21-30 years [6] . While Amirkhani et al, found 53% of cases in the age group between 25-34 years [9] .…”

Section: Discussionmentioning

confidence: 99%

“…First trimester bleeding is a threatening sign of abortion and is always associated with miscarriage and pregnancy complications [6] . Around 25% of pregnant women complain of bleeding during the first trimester [7] .…”

Section: Discussionmentioning

confidence: 99%

Pregnancy outcome in women with first-trimester bleeding per vaginum

Gollapalli¹,

Gunda²

2020

Int. J. Clin. Obstet. Gynaecol.

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Background: Bleeding per vaginum during early pregnancy is a common obstetric problem. It develops a source of anxiety for the family, mother as well as clinicians. Vaginal bleeding always associated with preterm delivery, intrauterine death (IUD), neonatal mortality and low birth weight. This study was designed to evaluate the pregnancy outcome in women with first trimester bleeding per vaginum. Materials and methods: A total of 200 pregnant women with first trimester bleeding per vaginum. All the cases were evaluated for the mode of delivery, weight of the newborn, pregnancy outcome, details of miscarriage and APGAR scores were noted. Results: Majority cases belonged to third decade of age (84.5%). Among the cases, 71% of cases were Primigravida and 29% cases were multigravida. At the time of bleeding, majority cases (60.5%) had more than 8 weeks of gestation and 39.5% had bleeding at less than 8 weeks of gestation. In this study, 9% cases have subchorionic haemorrhage evidenced by USG. 8.50% cases had first trimester miscarriage, 4.50% cases had second trimester miscarriage, 11.50% preterm delivery and 75.50% fullterm delivery. 56.89% cases had child with birth weight between 2.6-3 kg. Conclusion: Pregnant women with severe bleeding are more likely to abort than women with minimal bleeding. It is necessary to provide proper counseling regarding the possible outcome of pregnancy.

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First trimester bleeding and pregnancy outcome

Cited by 10 publications

References 6 publications

Fetomaternal outcome of pregnancy complicated by first and second trimester vaginal bleeding

Fetomaternal outcome of pregnancy complicated by first and second trimester vaginal bleeding

A study of maternal outcome in first trimester bleeding

Pregnancy outcome in women with first-trimester bleeding per vaginum

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