Maternal and Fetal Outcomes after First Trimester Vaginal Bleeding

This prospective study conducted at Sree Balaji Medical College and Hospital in Chennai over two years aimed to investigate the maternal and fetal outcomes following first trimester vaginal bleeding.The study included pregnant women presenting with vaginal bleeding up to 13 + 6 weeks of gestation, excluding those with conditions such as ectopic pregnancy and chronic hypertension.Data were collected on demographic information, obstetric history, details of the current pregnancy, and maternal and perinatal outcomes.The results indicated that first trimester vaginal bleeding is associated with an increased risk of spontaneous miscarriage, hypertensive disorders of pregnancy, preterm labor, and poor perinatal outcomes.The findings underscore the importance of early detection and intervention, particularly for overweight and obese women, primigravida women, and those experiencing heavy bleeding with abdominal pain.The study highlights the need for meticulous antenatal care and management to improve both maternal and neonatal health outcomes in pregnancies complicated by early bleeding.