STUDY OF MATERNAL OUTCOME IN WOMEN WITH FIRST TRIMESTER VAGINAL BLEEDINGA COMPARATIVE ANALYSIS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 7
Abstract
BACKGROUND One of the most common obstetric problems occurring in first trimester is vaginal bleeding. It accounts for majority of admissions and it is a very common reason for ultrasound examination in early pregnancy. First trimester vaginal bleeding occurs in about 25% of all pregnant women. Objective- Comparison of maternal outcome in women with first trimester vaginal bleeding and in women who did not experience first trimester vaginal bleeding. MATERIALS AND METHODS This descriptive comparative study was conducted on pregnant women attending the antenatal outdoor patient, Department of KG Hospital, Coimbatore, between January 2010 and December 2011. The complications and pregnancy outcome in women who experienced first trimester vaginal bleeding were compared with those in women who did not experience vaginal bleeding in first trimester. The women were followed up for spontaneous abortion, preeclampsia, placental abruption and pre-labour rupture of membranes. RESULTS In the control group, 10 cases (13%) had spontaneous abortion. In study group, 22 cases (29%) had spontaneous abortion. The Odds ratio (OR) was 2.875 (95% confidence interval 1.175 - 7.156). The ‘p’ value was < 0.05, which was significant. In the control group, no case of preeclampsia was encountered. In the study group, 4 of the 53 cases (7.5%) had preeclampsia. The OR was 11.909 (95% confidence interval 0.626 - 226.4). The ‘p’ value was < 0.05, which was significant. In the control group, 1 out of the 65 cases (2%) had placental abruption compared to 3 out of 53 cases (6%) in the study group. The OR was 3.84 (95% confidence interval 0.340 - 97.277). The ‘p’ value was non-significant. In the control group, there were 4 (6%) cases of PPROM compared to 10 (19%) cases in the study group. The OR was 3.5479 (95% confidence interval 1.043 - 12.054). The ‘p’ value was < 0.05, which was significant. CONCLUSION From the above study, we found that women who experience first trimester vaginal bleeding are more likely to have spontaneous abortion, preeclampsia, placental abruption and preterm pre-labour rupture of membranes.
Authors and Affiliations
Phalguni Kangjam, Shalini Baghel, Usharani Akoijam
Keywords
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- EP ID EP399154
- DOI 10.14260/jemds/2018/209
- Views 104
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