Clinical evaluation of the vaginal bleeding in pregnant women’s in Anugrah Narayan Magadh medical college, Gaya, Bihar
Dr. Kusum Kumari, Dr Lata Shukla
Vaginal bleeding in the first trimester is frequently encountered situation causing anxiety to the patient and obstetrician alike. 20-25% of pregnant women will have bleeding during early gestation. This may range from an insignificant episode to life threatening emergency. The major causes are abortion, ectopic pregnancy, and molar pregnancy. Before the advent of ultrasonography (USG), these patients were managed only clinically. Ultrasonography has revolutionized the management of early pregnancy complications. Hence based on above findings the present study was planned to evaluate The present study was planned in Department of Obstetrics and Gynaecology, Anugrah Narayan Magadh Medical College, Gaya, Bihar. Total 50 cases of the pregnant women’s diagnosed with the vaginal bleeding were enrolled in the present study. The Cases were selected randomly. Patients up to 12 weeks of pregnancy calculated from the first day of the last menstrual period with bleeding per vagina were included in the study. All the patients were informed consents. The aim and the objective of the present study were conveyed to them. Approval of the institutional ethical committee was taken prior to conduct of this study. The data generated from the present study concludes that Vaginal bleeding in the first trimester is a very common obstetric problem of pregnancy and it causes anxiety both to the patients and the obstetrician. Clinical history and pelvic examination are insufficient in assessing the cause and the outcome during follow up. Ultrasound is a non-invasive and easily available method of investigation to assess the patients with first trimester bleeding which is highly accurate in diagnosing the causes of bleeding and guides the clinician in choosing the appropriate line of management and prevents mismanagement of the cases. However, it should be remembered that ultrasound is an extension of the pelvic examination and cannot replace obstetric history and clinical examination.