To study the cases with first trimester bleeding and its outcome.
Materials and methods: This prospective study was done on 60 pregnant women with first trimester vaginal bleeding visiting Kamla Nehru State Hospital for Mother and Child, IGMC Shimla, Himachal Pradesh, India during the period of one year. All women were evaluated for the outcomes including abortion, preterm rapture of membranes, preterm labor, low birth weight and intra uterine growth retardation and the mode of delivery. Data were analyzed using SPSS- 11.
Results: Out of total 60 patients 14 aborted in first trimester. 61% of cases were of 25-30 age group. 43% cases had preterm deliveries. Patients undergoing LSCS were 56%. Patients with history of abortion and previous LSCS were 10 and 9 respectively. Patients with placental complications were 40%. Neonates with low birth weight were 45% and those admitting to NICU was 35%. IUGR was seen in 16.6%. Three neonates had perinatal mortality. Placental complications like placenta previa and abruptio was strongly associated with first trimester bleeding.
Conclusion: According to results of present study vaginal bleeding in first trimester of pregnancy may predict further maternal and fetal complications. We recommend training pregnant women regarding those complications and their prevention.