ISSN 0975-3583

Journal of Cardiovascular Disease Research

    A study on management of first trimester vaginal bleeding

    Dr. Uma A Salma Afreen, Dr. Asha Rani KNM, Dr. Snehalata Desia
    JCDR. 2023: 660-663


    Ultrasound supports the differentiation into threatened, incomplete or complete abortion and shows the way to appropriate clinical management. About 30to 40% of pregnancies fail after implantation, but 10-15% manifest with clinical symptoms. Vaginal bleeding in first trimester may as well be symptom for a variety of other causes of early pregnancy pathologies such as missed abortion, blighted ovum and ectopic pregnancy. A detailed clinical examination including complete general physical examination, pelvic examination and ultrasound examination was done to arrive at a diagnosis. Data was collected in a preformed proforma. Clinical diagnosis and ultrasound findings were correlated. Analysis was based on proportions, chi- square test and unpaired t tests. Out of 100 cases, 39cases were managed conservatively as ultrasound showed viable pregnancy, 57 cases underwent instrumental evacuation as they were non-viable and 1case underwent Laparotomy and 1 case no follow up.


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    Volume & Issue

    Volume 14 Issue 2