Özet:

This study was conducted to assess the maternal and perinatal outcome in pregnant women who present with first trimester vaginal bleeding. Materials & Methods: This prospective observational study was carried out in the department of Obstetrics and Gynecology at Patna Medical College and Hospital ,Patna Bihar, India from November 2017 to October 2018. All women with vaginal bleed in first trimester of pregnancy(pregnancy was confirmed chemically and ultrasonologically) were studied. Results: In this study, 200 women with vaginal bleeding in the first trimester of their pregnancy were studied. The mean (± SD) of birth weight was 3025± 369 gram in babies of studied women. The mean (± SD) of gestational age at the end of pregnancy was 272± 14 day in studied women. In women the pregnancy termination due to premature labor was 27%, followed by placental abruption in 11% and 16% patients had no complication. Normal vaginal delivery was 30% and Caesarean section was 35% Among 200 women, 170 ended the pregnancy successfully.Conclusions: Considering the results of present study , first trimester bleeding can be a predicting factor in terms of consequence of pregnancy and it is necessary to increase the knowledge of pregnant women in this regard for closer care. Also, because the clinical interventions of attending doctor has an important role in not only the continuance of pregnancy but also reducing the fetal complications in these high risk pregnancies.Precise management and planning by the obstetrocian is required. Keywords: First trimester bleeding, Pregnancy outcome, Vaginal bleeding.

Anahtar Kelimeler: