Abstract: 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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