Study of Fetal Outcome in Cases of Bleeding Per Vaginum in First Trimester of Pregnancy

Objectives-To know the common causes of first trimester bleeding p/v& To evaluate the fetal outcome following first trimester bleeding p/v. Material& Method-The Prospective study of 100 consenting& consecutive cases of first trimester bleeding per vaginum was carried out at our institute in the department of obstetrics and gynecology from July 2015 to Feb 2016. Primary outcome noted is the cause of first trimester bleeding p/v. Secondary outcome noted is foetal outcome in continuation of pregnancy. Inclusion Criteria Patient with definitive diagnosis of pregnancy within 12 weeks with complains of first episode of bleeding p/v admitted in antenatal ward of OG department. Exclusion Criteria H/O intake of MTP pills& Gestation age greater than12 week at the time of bleeding. Summary-The mean age of the patients enrolled was 21 year. Most of the patients were multigravida (68 %). In our study most of the subjects delivered vaginally (69 %) while 13 % subjects had undergone LSCS and 18 % subjects delievered preterm. In our study out of 74 patients, 14 patient (20 %) had preterm birth, while in general population rate of preterm birth 10 % (P value-0.02) which is statistically significant. In our study out of total 74 patients, 24 patients (32 %) had IUGR, while in general population only 11 % had IUGR (p value-