DOI: 10.36347/sjmcr.2023.v11i09.015

Pages: 1631-1635

Background: Haemorrhage in the 1st trimester of pregnancy is bleeding occurring in pregnant women before 15 weeks of amenorrhea (SA). About 25% of pregnancies bleed in the first trimester and nearly half end in a birth pit. The objective of our study was to study the sonographic etiologies of hemorrhage in the 1st trimester of pregnancy. Subjects and Methods: This was a cross-sectional and prospective, multicenter 24-month study, carried out between January 2018 and January 2020, which involved 379 pregnant women who were between 07 and 14 weeks of amenorrhea (SA) and who presented with haemorrhage. The data collected were obtained from the ultrasound reports and a series of questions asked either of the patient or her companions. Data were entered and analyzed on SPSS version 26.0. Results: In our study, we performed 10,890 ultrasounds, of which 379 women had bleeding during the 1st trimester of pregnancy, i.e. 3.48%. The average age was 26 years with extremes ranging from 17 to 44 years. 202 patients or 53.3% were between 20 and 30 years old. 121 patients or 32% were multi gestures. 100 patients or 26.4% were pauciparous. The clinical information prompting an ultrasound was abdominal pain + metrorrhagia in 269 cases (71%). The sonographic etiologies were trophoblastic detachments with (45%); threatened abortion (27%), ectopic pregnancy (08.50%), pregnancy stopped (05.5%), clear egg (09%), mole (1.2%), retained placenta (2.2%), no cause (1.6%). Conclusion: Ultrasound is an examination of choice in the etiological diagnosis of first trimester metrorrhagia by the precision of embryonic vitality, the intra or extra uterine nature of pregnancy, the complete or incomplete nature of an abortion or molar pregnancy. It was invaluable for the etiological assessment of bleeding in the first trimester of pregnancy and allowed adequate management.