Maternal and perinatal outcome in women with threatened abortion in first trimester

Sarmalkar, Meenal; Singh, Shashibala; Nayak, Arun

doi:10.18203/2320-1770.ijrcog20161301

Cited by 9 publications

(26 citation statements)

References 20 publications

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“…This study results were also consistent with Sarmalkar MS et al, the incidence of PIH in their study was 15%. 15 Similar results were shown by Lykke et al, who found significantly increased incidence of hypertensive disorders of pregnancy in the subjects with history of first trimester vaginal bleeding as compared to controls (p value <0.001). 12 In this study 7.7% of the cases developed abruption as compared to 1.5% of controls, the difference This being statistically significant (p value 0.034) ( Table 6).…”

Section: Discussionsupporting

confidence: 85%

Pregnancy outcome after first trimester vaginal bleeding

Quraishi

Khurshid

Andrabi

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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Background: First trimester vaginal bleeding is one of the most common complications in pregnancy threatening its proper development and successful outcome. Methods: A case-control study was conducted from October 2016 to April 2018 in the department of obstetrics and gynecology SKIMS.200 cases with vaginal bleeding in first trimester were taken for study. Out of the cases, number of patients who had abortion, ectopic, molar pregnancy or continued their pregnancy beyond 20 weeks was noted. Those who continued their pregnancy were compared with 130 controls for complications developing later in pregnancy.Results: There was significantly higher incidence of PIH (15.4% of cases, 6.9% of controls, p value = 0.005) and abruption (7.7% and 1.5% among cases and controls respectively with p-value of 0.034) among cases than controls. Mean gestational age at delivery in cases was 35.6±3.63 weeks while in controls it was 38.5±1.94 weeks (p value <0.001). Mean birth-weight of the neonates in cases was 2.16±0.78 kgs while in controls was 3.05±0.53 kgs (p value <0.001). IUGR occurred in 9.2% of cases and 3.1% of controls (p value 0.039). There was significantly higher neonatal ICU admission rate in cases than controls (p value 0.019). Conclusions: Patients with first trimester vaginal bleeding are at increased risk for spontaneous loss and adverse pregnancy outcome.

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Section: Discussionsupporting

confidence: 85%

Pregnancy outcome after first trimester vaginal bleeding

Quraishi

Khurshid

Andrabi

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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“…In our study, IUD occurred in only 1 patient. Similarly, study conducted by Sarmalkar et al, (2016) found only 1 IUD in 100 patients. In study conducted by Amirkhani et al, (2016) found that IUD occurred in 1.7% of cases.…”

Section: Intrauterine Fetal Deathmentioning

confidence: 92%

“…Other outcomes like fetal distress, meconium stained amniotic fluid and malpresentation are 11.41%, 7.38% and 2.01% respectively. In study conducted by Sarmalkar et al, (2016), incidence of fetal distress, MSAF and malpresentation are 5%, 3% and 4 % respectively.…”

Section: Low Birth Weightmentioning

confidence: 94%

“…This is in concordance with study conducted by Dwivedi et al, (2017) who reported mean birth weight of 2.51 kg. Similarly, Sarmalkar et al, (2016) reported mean birth weight of 2.5 kg.…”

Section: Low Birth Weightmentioning

confidence: 97%

“…In our study, preterm delivery occurred in 21.48% of cases. In study conducted by Sarmalkar et al, (2016), andPatel et al, (2014), incidence of preterm delivery was 21% and 21.9%.…”

Section: Preterm Deliverymentioning

confidence: 97%

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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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