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Abstract:
Abstract: The first trimester of pregnancy is a dynamic period during which vaginal bleeding may occur in about 20% of clinically diagnosed pregnancies, which causes considerable anxiety to the woman and her family. It is hypothesized that first-trimester bleeding may indicate an underlying placental dysfunction which may manifest later in pregnancy with an increased risk of preterm delivery, preterm prelabour rupture of membranes (PPROM), placental abruption and intrauterine growth restriction (IUGR). Materials and methods: A total of 300 women attending gynecology department, within 14 weeks of pregnancy were recruited. Group A comprised of 150 women with threatened miscarriage and meeting inclusion criteria. Group B comprised of 150 women as age and parity matched controls without any such history. All these women were managed as per hospital protocol and were followed up till delivery. Results: In our study a statistically significant incidence of retroplacental clot(37.3%), low lying placenta(33.3%), abruption placenta(10%), antepartum haemorrhage(20.7%), preterm birth(28%) and incidence of Caesarean section(29>3%) was found in women in later part of pregnancy who had presented with bleeding in early pregnancy
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