Journal of AdvancedMedical and Dental Sciences Research

Aim: To determine the pregnancy outcome in patients with first trimester vaginal bleeding. Material and methods: This prospective observational study was carried out in the department of Obstetrics and Gynecology, after taking the approval of the protocol review committee and institutional ethics committee. All women with vaginal bleeding in first trimester of pregnancy whose pregnancy was confirmed chemically and ultrasonologically were studied. After taking a written informed consent, patients were kept under surveillance until delivery and the consequence of pregnancy was evaluated by close observation on the process of pregnancy and prenatal care. Sonography was performed for all women in the 8-10 weeks interval. The women were visited every two weeks in the first 6 months of pregnancy, weekly in the 7th and 8th months and two times per week in the last month of pregnancy. The age of pregnancy at the time of bleeding, the volume of bleeding, the history of previous pregnancies, the co-existing diseases, the length and duration of pregnancy and the birth weight were recorded. Results: The mean (± SD) of birth weight was 3148.24± 352.91 gram in babies of studied women. The mean (± SD) of gestational age at the end of pregnancy was 270.50± 11.50 day in studied women. Table 1 summarizes the obstetrical characteristics and history of the patients. In our study, the age of the patients ranged from 18 to 40 years. The mean age of the patients was 29.54±2.76 years with a standard deviation of 4.37. It shows that majority of 47 (39.17%) patients had preterm labor, 24(20%) patients had placental abruption, 11(9.17%) patients had premature rupture of membrane, 5(4.16%) patients had intrauterine death, 3(2.50%) patients had intrauterine growth retardation and total 30(25%) patients did not have any complications. Conclusion: Considering the results of present study, the first trimester bleeding can be a predicting factor in the consequences of pregnancy and it is necessary to increase the knowledge of pregnant women in this regard for closer care.