Background: Uterine bleeding in early pregnancy represents a definite threat to developing embryo and is directly proportional to the amount of bleeding. It is associated with an increased risk of poor obstetric and neonatal outcomes such as preterm labor, low birth weight, and premature rupture of membranes (PROM).
Aims and Objectives: This study aims to investigate the effect of the first trimester vaginal bleeding on maternal and perinatal outcomes.
Materials and Methods: This prospective observational study carried out in Gov't Medical College Srinagar, between January 2021 and June 2022. Here 200 patients with the first trimester vaginal bleeding were included in the study. Outcome of pregnancy was assessed in the form of obstetrical complications such as placenta previa, PROM, preterm labor, intrauterine fetal death, intrauterine growth restriction (IUGR), and neonatal outcomes such as prematurity, low birth weight, low appearance, pulse, grimace, activity, and respiration, requirement of newborn intensive care unit (NICU) admission, and perinatal death.
Results: Our study shows that 70(35%) out of 200 were primi gravida and rest 130 (65%) were multigravida. 41% patients resulted in spontaneous abortion, and 59% continued their pregnancy to viable period. 48 out of 59 patients had preterm delivery, 9 out of 59 patients had antepartum hemorrhage. About 40(68%) delivered vaginally, 32% (19) underwent lower segment cesarean section. Regarding neonatal outcome, 12% had early neonatal death, 22% needed NICU admission, 10% suffered from fetal distress, 20% were IUGR, and 47% had birth weight <2.5 kg.
Conclusion: The first trimester bleeding is a predicting factor for obstetric and perinatal complications during pregnancy.
Key words: Fetomaternal outcome; First trimester bleeding; Threatened abortion
How to cite this article: Farooq O, Choudhary N, Dar FA, Rather SY, Study Of Fetomaternal Outcome In Patients With Threatened Abortion. Int J Drug Deliv Technol. 2026;16(4s): 944-949; DOI: 10.25258/ijddt.16.4s.110
Source of support: Nil
Conflict of interest: None