Obstetrical outcome of pregnancy complicated with first trimester bleeding and subchorionic hematoma

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dc.contributor.authorAgarwal, Kiranen_US
dc.contributor.authorRituen_US
dc.contributor.authorSingh, Amritaen_US
dc.contributor.authorSingh, Anjalien_US
dc.contributor.authorMishra, Amritaen_US
dc.date.accessioned2020-10-16T08:01:37Z
dc.date.available2020-10-16T08:01:37Z
dc.date.issued2020-01
dc.description.abstractBackground: First trimester bleeding complicates around 20-27% of pregnancy. Objective of this study was to evaluate and compare the feto-maternal and pregnancy outcome in patients presenting with live pregnancy complicated with first trimester bleeding and subchorionic hematoma with those without subchorionic hematoma.Methods: In this prospective observational study, based on ultrasonography, live pregnancies were categorized into two groups, first group having first trimester bleeding with subchorionic hematoma and second with first trimester bleeding only without any hematoma. They were evaluated for the end outcome of pregnancy in terms of abortion and continuation. Continued pregnancies were evaluated for antenatal complications, delivery and intrapartum events along with fetal outcomes.Results: Outcome of pregnancies presenting with first trimester bleeding in terms of abortion was similar in both the groups, 22.8% and 21.5% with hematoma and without hematoma respectively. Incidence of preeclampsia was 11.4% and Fetal growth restriction was 7% in pregnancies with first trimester bleeding with hematoma and was significantly higher than those without hematoma which was 3.07% for preeclampsia and 3% for fetal growth restriction. Incidence of antepartum haemorrhage was higher in hematoma group but the result was not statistically significant. 20% pregnancies with first trimester bleeding with hematoma had preterm deliveries, while it was 7.7% in pregnancies without hematoma and the difference was statistically significant. Low birth weight had occurred in 20% of babies in first group of patients while 4.6% in second group, difference being statistically significant.Conclusions: We found that live pregnancies with first trimester bleeding and subchorionic hematoma were associated with similar risk of miscarriage and antepartum haemorrhage while increased risk of preeclampsia, fetal growth restrictions, preterm birth, non-reassuring fetal heart pattern, caesarean delivery and low birth weight baby when compared to patients with first trimester bleeding without subchorionic hematoma. There was no difference in 5 minutes Apgar score and the NICU admission in both the groups.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Lady Hardinge Medical College and Smt. Suchita Kriplani Hospital, New Delhi, Indiaen_US
dc.identifier.citationAgarwal Kiran, Ritu, Singh Amrita, Singh Anjali, Mishra Amrita. Obstetrical outcome of pregnancy complicated with first trimester bleeding and subchorionic hematoma. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2020 Jan; 9(1): 23-27en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/207336
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber1en_US
dc.relation.volume9en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-1770.ijrcog20195640en_US
dc.subjectFeto-maternal outcomeen_US
dc.subjectFirst trimester bleedingen_US
dc.subjectMiscarriageen_US
dc.subjectPreeclampsiaen_US
dc.subjectSubchorionic haematomaen_US
dc.titleObstetrical outcome of pregnancy complicated with first trimester bleeding and subchorionic hematomaen_US
dc.typeJournal Articleen_US
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