Impact of first trimester bleeding on feto-maternal outcome : A cohort study in a tertiary care hospital of Eastern India
OBJECTIVE: To evaluate the impact of first trimester bleeding on maternal and perinatal outcomes in pregnancies that crossed period of viability.BACKGROUND: Threatened miscarriage is presumed to be associated with adverse maternal and perinatal outcome which needs to be systematically evaluated and...
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| Format: | Article |
| Language: | English |
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Midwifery Department, UNS (Universitas Sebelas Maret) Surakarta
2025-02-01
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| Series: | Placentum |
| Online Access: | https://jurnal.uns.ac.id/placentum/article/view/90811 |
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| Summary: | OBJECTIVE: To evaluate the impact of first trimester bleeding on maternal and perinatal outcomes in pregnancies that crossed period of viability.BACKGROUND: Threatened miscarriage is presumed to be associated with adverse maternal and perinatal outcome which needs to be systematically evaluated and documentedMETHODS: A prospective cohort study having 100 participants where pregnancy outcomes were compared between 50 patients with threatened miscarriage [TM] and 50 uncomplicated controls. Baseline demographic and clinical history were recorded to make the two arms comparable. Maternal outcomes in terms of antepartum haemorrhage [APH], preeclampsia, preterm labour, operative morbidity due to caesarean section and neonatal outcomes including low birth weight (LBW), prematurity and perinatal death were compared among case and control groups.RESULTS: APH was 5.75 fold increased among cases (P=0.0001). LBW was more prevalent among babies born to the mothers with pregnancies complicated with first trimester vaginal bleeding (P=0.0001).CONCLUSIONS: Threatened miscarriage should be considered as high risk pregnancy requiring frequent antenatal visits and timely referral to higher centres when complications are identified. |
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| ISSN: | 2303-3746 2620-9969 |