PREGNANCY OUTCOME IN FIRST TRIMESTER BLEED

Dr.SUBHA SIVAGAMI SENGODAN; Dr. MOHANA DHANAPAL; Dr. VIJAYA SUBRAMANIAN

Volume : VI, Issue : VII, July - 2016

PREGNANCY OUTCOME IN FIRST TRIMESTER BLEED

Dr. Subha Sivagami Sengodan, Dr. Mohana Dhanapal, Dr. Vijaya Subramanian

Abstract :

Threatened miscarriage is a common complication of pregnancy occurring in 15–25%[1–10] of ongoing pregnancies. Several studies have reported an association between first trimester bleed and abnormal pregnancy outcome including preterm deliveries, fetal growth restriction and low birth weight but the majority of these reports are retrospective.In the present study cases of threatened miscarriage have been examined from early in the first trimester and followed up prospectively until the end of pregnancy. This prospective cohort study was done in the Department Of Obstetrics And Gynecology, Government Kasturibha Gandhi Hospital, Chennai from Jan 2011– Dec 2012. Total no of patients were 400, among which 200 pregnant women in the threatened miscarriage group and 200 controls. All women in the study group were followed prospectively from their first visit until delivery .Threatened abortion is associated with an increased risk of pregnancy related complications like placental auption, preterm labour, low birth weight babies, premature rupture of memanes. Our study concludes that the majority of women with first trimester bleeding have pregnancy outcomes comparable to those without such bleeding. It is evident that they face a higher relative risk of some adverse obstetric and neonatal outcomes.