Feto-Maternal Outcomes in Pregnant Women with First Trimester Vaginal Bleeding
Mohamed, S., Ali, A., Nosser, W., el kataway, A. (2024). Feto-Maternal Outcomes in Pregnant Women with First Trimester Vaginal Bleeding. EKB Journal Management System, 30(2), 458-464. doi: 10.21608/zumj.2022.138138.2566
Samar Ahmed Mohamed; Ali El-Shabrawy Ali; Waeel Sabry Nosser; ahmed metwally el kataway. "Feto-Maternal Outcomes in Pregnant Women with First Trimester Vaginal Bleeding". EKB Journal Management System, 30, 2, 2024, 458-464. doi: 10.21608/zumj.2022.138138.2566
Mohamed, S., Ali, A., Nosser, W., el kataway, A. (2024). 'Feto-Maternal Outcomes in Pregnant Women with First Trimester Vaginal Bleeding', EKB Journal Management System, 30(2), pp. 458-464. doi: 10.21608/zumj.2022.138138.2566
Mohamed, S., Ali, A., Nosser, W., el kataway, A. Feto-Maternal Outcomes in Pregnant Women with First Trimester Vaginal Bleeding. EKB Journal Management System, 2024; 30(2): 458-464. doi: 10.21608/zumj.2022.138138.2566

Feto-Maternal Outcomes in Pregnant Women with First Trimester Vaginal Bleeding

Zagazig University Medical Journal
Article 21, Volume 30, Issue 2, March and April 2024, Page 458-464  XML PDF (983.67 K)
Document Type: Original Article
DOI: 10.21608/zumj.2022.138138.2566
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Authors
Samar Ahmed Mohamed email 1; Ali El-Shabrawy Ali2; Waeel Sabry Nosser3; ahmed metwally el kataway3
1Department of Obstetrics & Gynecology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
2Department of Obstetrics & Gynecology, Faculty of Medicine, Zagazig University, Alsharqia, Egypt.
3Department of Obstetrics & Gynecology, Faculty of Medicine, Zagazig University, Alsharqia, Egypt
Abstract
Background: Vaginal bleeding can be a normal sign of implantation of the pregnancy, may herald the initiation of spontaneous abortion, or may be the sign of a pathologic condition such as ectopic pregnancy or gestational trophoblastic disease.
Subjects and methods: This was a prospective cohort study included 68 case of pregnant female with first trimester vaginal bleeding at Obstetrics& Gynecology Department, Faculty of Medicine, Zagazig University. The duration of the study was from February 2021 to December 2021. General and local examinations were done for every participant. Vaginal bleeding was considered light when the women did not need hospital care and heavy when she was admitted to hospital. Fetal biometric measures and any maternal or fetal outcomes were noted and associated with vaginal bleeding.
Result: There was 29.5% had no complications but there is 8.8% had intrauterine growth restriction (IUGR), 17.6% had placental abruption, 30.9% had premature labor, 10.3% had premature rupture of membrane (PROM) and 2.9% had intrauterine fetal death (IUFD).
Conclusion: Patients who presented with severe vaginal bleeding had a pregnancy loss and hence a negative prognosis. Pregnancy prognosis is considerably influenced in the presence of sub-chorionic hematoma since the risk of preterm labour, IUGR, and notably miscarriage increases dramatically.
Keywords
Vaginal bleeding; First trimester; Feto-Maternal; Outcomes
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