The Perinatal Outcome of Pregnancies Complicated by Vaginal Bleeding in First and Second Trimesters

الموضوعات

طب

الملخص

This is a prospective cohort study conduced in the period fromJune 2003 to June 2004 . There were 308 patients attending the outpatient , referred and casualty clinics in KTH and SUH . There were 103cases and 205 controls .We studied the effect of bleeding in the 1st and 2nd trimesters on theperinatal outcome . we looked specifically for the risk of prematurity ,intrauterine growth restriction , antepartum haemorrhage and the perinatalmorbidity and mortality .Other risks also appeared in the study including the risk of congenitalmalformations and the association with a previous history of infertility .Those patients were followed from the time of vaginal bleeding whichshould be at 24 week gestational age or less .The pregnancy should proceed to the third trimester .Patients are seen regularly and at time of complications till deliveryand discharge jointly with the neonatologist .IVThe statistical analysis showed an increased risk of preterm labourand delivery which was statistically significant (P= .003).It was even more significant for those who had more than oneepisode of bleeding compared to the control group .For growth restriction , the study revealed astatistically significantrisk of baby born at term with growth restriction compared to the controlgroup.Also there was an increased risk of perinatal morbidity and mortalityamong cases with early vaginal bleeding compared to controls ( P=.001).Regarding the risk of antepartum haemorrahge , The P value = .004 ,showing an increased risk of all forms of APH including unexplainedantepartum haemorrahge .Also there was an association between history of infertility and the riskof bleeding in early pregnancy .There was no association between previous miscarriages and theoccurrence of bleeding in early pregnancy in the future .

روابط وملفات

التعريف والنوع

رقم الوثيقة

04ea951f-f1ec-49d6-b114-9084d9b299e2

رقم العقد

0

نوع الوسائط

Crawler

نوع المحتوى

الرسائل العلمية

صيغة المصدر

رسائل ماجيستير

نوع الملف

pdf text

أسماء الملفات

1639239_1.pdf

بيانات النشر

ألقاب المؤلفين

[{"name_ar":"سلام جريس","title_ar":"اشراف","title_en":"Supervision"},{"name_ar":"عبدالله محمد","title_ar":"اعداد","title_en":"Preparation"}]

اللغة

English

المصدر والدورية

اسم المصدر

The Perinatal Outcome of Pregnancies Complicated by Vaginal Bleeding in First and Second Trimesters

المحتوى والصفحات

عدد الصفحات

0

إشراف وإعداد

الإشراف

سلام جريس

الإعداد

عبدالله محمد

الاقتباسات الببليوغرافية