DOI: https://doi.org/10.36347/sjams.2026.v14i07.008

Pages: 1048-1053

Background: First-trimester abortion is one of the most common obstetric conditions contributing significantly to maternal morbidity worldwide. It may occur spontaneously or be induced and is influenced by multiple sociodemographic, obstetric, and clinical factors. Understanding its clinical profile is essential for early diagnosis and appropriate management, particularly in resource-limited settings. Objective: To evaluate the sociodemographic and clinical profile of women presenting with first-trimester abortion in a tertiary care hospital. Methods: A hospital-based cross-sectional descriptive observational study was conducted in the Department of Obstetrics and Gynecology, Mymensingh Medical College Hospital, Bangladesh, from July 2020 to December 2020. A total of 100 women with first-trimester abortion were included using purposive sampling after obtaining informed consent. Data were collected through structured interviews, clinical examinations, laboratory investigations, and ultrasonography. Statistical analysis was performed using SPSS version 23, and a p-value <0.05 was considered statistically significant. Results: The majority of patients (82%) were aged 21–30 years with a mean age of 24.71 ± 3.9 years. Most were married (91%), housewives (70%), and had primary-level education (60%). A total of 56% belonged to the middle-income group. Clinically, 52% of patients presented at 11–12 weeks of gestation, and incomplete abortion was the most common type (51%). Vaginal bleeding and lower abdominal pain were each present in 74% of cases, while 96% had mild to moderate anemia. Delayed presentation and symptomatic anemia were frequently observed among the patients. Conclusion: First-trimester abortion predominantly affects young, married women of low to middle socioeconomic status, with incomplete abortion being the most frequent clinical presentation. Early gestational presentation with bleeding and abdominal pain is common. Strengthening reproductive health educa