Study of the Predictive Factors for First Trimester Bleeding in Pregnancy

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Auteur principal: Swaralipi Misra
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Publié: Zenodo 2025
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author Swaralipi Misra
author_facet Swaralipi Misra
contents <p><strong><span lang="EN-IN">Introduction: </span></strong><span lang="EN-IN">First trimester bleeding is a common obstetric complication, affecting up to 20–25% of all pregnancies. While not all cases result in adverse outcomes, such bleeding is often associated with increased risks of miscarriage, preterm labor, and placental complications later in pregnancy.</span></p> <p><strong><span lang="EN-IN">Aims and Objectives: </span></strong><span lang="EN-IN">To evaluate the clinical profile and ultrasonographic findings in pregnant women presenting with first trimester bleeding. To identify predictive factors associated with pregnancy outcomes in these cases.</span></p> <p><strong><span lang="EN-IN">Materials and methods: </span></strong><span lang="EN-IN">The present study was a Prospective<span> study. </span>This Study was conducted from December<span> </span>2020 to July<span> </span><span>2021 at Department of Obstetrics and Gynecology, Nilratan Sircar Medical College and Hospital, Kolkata. </span>Total 60 patients were included in this study.</span></p> <p><strong><span lang="EN-IN">Result: </span></strong><span lang="EN-IN">The majority of participants were aged 21–25 years, with nearly half being primigravida. Abnormal USG findings were seen in 70%, most commonly retained products of conception. Mild bleeding was most frequent (55%), and 30% had a history of abortifacient use. Abortion was the most common outcome (61.67%), and bleeding was most frequent between 6–8 weeks. A significant association was found between bleeding severity and pregnancy outcome (p < 0.001), with all moderate and heavy bleeders resulting in abortion.</span></p> <p><strong><span lang="EN-IN">Conclusion: </span></strong><span lang="EN-IN">We concluded that the severity of first trimester bleeding emerged as a strong predictor of pregnancy outcomes. Women who experienced mild bleeding had a greater likelihood of continuing their pregnancies to term or preterm delivery, with a relatively lower risk of adverse outcomes.</span></p> <p><span lang="EN-IN"> </span></p>
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spellingShingle Study of the Predictive Factors for First Trimester Bleeding in Pregnancy
Swaralipi Misra
<p><strong><span lang="EN-IN">Introduction: </span></strong><span lang="EN-IN">First trimester bleeding is a common obstetric complication, affecting up to 20–25% of all pregnancies. While not all cases result in adverse outcomes, such bleeding is often associated with increased risks of miscarriage, preterm labor, and placental complications later in pregnancy.</span></p> <p><strong><span lang="EN-IN">Aims and Objectives: </span></strong><span lang="EN-IN">To evaluate the clinical profile and ultrasonographic findings in pregnant women presenting with first trimester bleeding. To identify predictive factors associated with pregnancy outcomes in these cases.</span></p> <p><strong><span lang="EN-IN">Materials and methods: </span></strong><span lang="EN-IN">The present study was a Prospective<span> study. </span>This Study was conducted from December<span> </span>2020 to July<span> </span><span>2021 at Department of Obstetrics and Gynecology, Nilratan Sircar Medical College and Hospital, Kolkata. </span>Total 60 patients were included in this study.</span></p> <p><strong><span lang="EN-IN">Result: </span></strong><span lang="EN-IN">The majority of participants were aged 21–25 years, with nearly half being primigravida. Abnormal USG findings were seen in 70%, most commonly retained products of conception. Mild bleeding was most frequent (55%), and 30% had a history of abortifacient use. Abortion was the most common outcome (61.67%), and bleeding was most frequent between 6–8 weeks. A significant association was found between bleeding severity and pregnancy outcome (p < 0.001), with all moderate and heavy bleeders resulting in abortion.</span></p> <p><strong><span lang="EN-IN">Conclusion: </span></strong><span lang="EN-IN">We concluded that the severity of first trimester bleeding emerged as a strong predictor of pregnancy outcomes. Women who experienced mild bleeding had a greater likelihood of continuing their pregnancies to term or preterm delivery, with a relatively lower risk of adverse outcomes.</span></p> <p><span lang="EN-IN"> </span></p>
title Study of the Predictive Factors for First Trimester Bleeding in Pregnancy
url https://doi.org/10.5281/zenodo.16936429