THE MATERNAL AND FOETAL OUTCOME IN PREGNANT WOMEN WITH FIRST TRIMESTER VAGINAL BLEEDING

Dr. Shohana Shikder*, Dr. Kamrun Nahar, Dr. Khaleda Akter Khanam, Dr. Md. Quamruzzaman, Dr. S. M. Shahnewaj and Dr. S. M. Masudur Rahman

ABSTRACT

Background: First trimester vaginal bleeding is linked to complications like miscarriage, ectopic pregnancy, hydatidiform mole, premature birth, and low birth weight. Objective: In this study our main goal is to evaluate the Maternal and Foetal Outcome in Pregnant Women with First Trimester Vaginal Bleeding. Method: This study is a cross-sectional, analytical study of 60 pregnant women who presented to Abdul Malek Ukil Medical College, Noakhali during the first trimester of their pregnancies with vaginal bleeding. Research included all women who experienced vaginal bleeding during the first trimester of their pregnancies and whose pregnancies were confirmed scientifically. Results: During the study, most of the patients belong to 32-42 years age group, 60%. Mean age was 36±6.28 years. 70% had moderate level of bleeding volume current pregnancy, 30% had history of bleeding and 5% had history of abortion. 26% had premature labor, followed by 15% had placental abruption, 7% had premature rupture membrane, 49.5% had no complication. Plus, 30% had abortion, 25% had termination of pregnancy, 35% had cesarean section, 6% neonatal had weight more than 3500 gr, 55% were between 2500-3500 gr and 39% were less than 2500 gr. Conclusion: The present study suggests that vaginal bleeding during the first trimester of pregnancy is an indicator of future maternal and fetal problems. Pregnant women should be educated about these risks and how to avoid them.

Keywords: First trimester, vaginal bleeding, pregnancy.