STUDY ON HAEMORRHAGE IN 1ST TRIMESTER OF PREGNANCY AND ITS EVALUATION BY TRANSVAGINAL SONOGRAPHY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 49
Abstract
BACKGROUND Vaginal bleeding in the first trimester of pregnancy is a common obstetric problem and causes worry and anxiety both to the patient and the obstetrician. The first twelve weeks of intrauterine life are the most crucial period which needs a careful eye on the growing foetus inside. The aim of this study is to evaluate the role of Transvaginal Ultrasonography in cases of vaginal bleeding in the first trimester of pregnancy and also to- 1. Identify the cause of vaginal bleeding in first trimester of pregnancy. 2. Confirm the clinical diagnosis. 3. Better Management. 4. Save the life of women in cases acute ectopic pregnancy by early intervention. 5. Spare the patients from unnecessary intervention in cases of complete abortion and threatened abortion. MATERIALS AND METHODS The study was carried out in the Department of Obstetrics and Gynaecology of Patna Medical College Hospital, Patna during the period from October 2014 to September 2016. 100 Pregnant patients presenting with bleeding per vaginum in first trimester of pregnancy were included. Statistical Method- Chi square method. Study Design- Descriptive study. RESULTS Abortions contributed to the major cause of first trimester, bleeding constituting 85%, ectopic pregnancy constituting 10% and molar pregnancy in 5% cases. CONCLUSION Transvaginal sonography is a gold standard modality for diagnosis of haemorrhage in the first trimester of pregnancy
Authors and Affiliations
Punita Kumari, Chitra Sinha, Chander Kiran, Sunita Kumari, Shalini Shalini, Arpana Kumari, Supriya Kumari
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