| Autor: |
Goyal, Pooja, Bala, Nidhi, Khan, Shirin Nabimohammad, Choudhary, Megha, Moruskar, Aditya, Lachyan, Abhishek |
| Předmět: |
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| Zdroj: |
Indian Obstetrics & Gynaecology; Jul-Sep2024, Vol. 14 Issue 3, p20-26, 7p |
| Abstrakt: |
Background: Vaginal bleeding during the first trimester of pregnancy is indicative of various conditions such as spontaneous abortion, ectopic pregnancy, and gestational trophoblastic disease. It occurs in approximately 25% to 30% of pregnancies which is associated with a twofold increased risk of complications. Objective: To evaluate perinatal outcomes in patients experiencing vaginal bleeding during the first trimester of pregnancy. Materials and methods: This observational, retrospective-prospective study was conducted in the Department of Obstetrics and Gynaecology at a tertiary care hospital. It included 200 women presenting with first-trimester vaginal bleeding from October 2019 to September 2021. Data were collected both retrospectively from hospital records and prospectively from consenting participants. Maternal and foetal parameters, including age, parity, obstetrical complications, gestational age at delivery, mode of delivery, and neonatal outcomes were analyzed. Results: The mean age of participants was 28.1 years, with 70% aged between 20 and 30 years. Among primigravida patients, 50.9% continued their pregnancies. Previous pregnancy complications, such as history of bleeding and abortions, were noted. Co-morbidities did not significantly affect the decision to continue pregnancy. The majority of deliveries occurred at term, with 53.4% at ≥37 weeks. Preterm deliveries were noted in 46.5% of cases. Caesarean section was performed in 62.1% patients. Conclusion: First-trimester vaginal bleeding poses a significant risk for adverse perinatal outcomes. Effective management and close monitoring are essential to improve maternal and neonatal outcomes. This study underscores the need for vigilant prenatal care in pregnancies complicated by early bleeding, highlighting the importance of tailored clinical strategies to mitigate risks. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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