DOI: 10.36347/sjams.2024.v12i05.019

Pages: 627-633

Introduction: The outcome of early pregnancy bleeding remains a subject of ongoing debate within the medical community. Vaginal bleeding, while common, can be a potentially alarming symptom in early pregnancy. It is a prevalent occurrence during the first trimester, presenting a significant concern for both patients and healthcare providers alike. Aim of the study: The aim of this study was to determine the maternal and fetal outcome in patients presenting with early pregnancy bleeding. Methods: This prospective study was conducted in the Department of Obstetrics and Gynaecology of Holy Family Red Crescent Medical College Hospital, Dhaka, Bangladesh during the period from January 2021 to December 2023. It included 300 cases of early pregnancy bleeding. All patients in the study were evaluated for various outcomes, including threatened abortions, spontaneous abortions, complete or incomplete abortions, sub-chorionic hematoma, intrauterine fetal demise, missed abortions, second and third-trimester bleeding, intrauterine growth restriction (IUGR), premature rupture of membranes (PROM), and preterm deliveries. Result: Out of 300 patients presented with early pregnancy bleeding. The incidence was highest (85.5%)) in the age group of 21-30 years. 61% primigravida presented with first trimester bleeding as compared to 39% of multigravidas. It was seen that 69.67% patients who presented before 6 weeks aborted whereas only 5.7% patients who presented after 10 weeks aborted. Out of the 80 patients that continued pregnancy after first trimester vaginal bleeding 1.25% had a second trimester abortion, 17.5% went into preterm labor 11.25% has premature rupture of membranes and 2.5% had antepartum hemorrhage. Conclusion: The results of the present study indicate that early pregnancy bleeding serves as a predictor for additional maternal and fetal complications. Effective clinical intervention plays a crucial role in sustaining pregnancy and minimizing fetal complications. ....