Puri, JigyasaSodhi, Amitoj, SinghHamdani, HannaSharma, RajeshHaq, Ahatsham ul2024-09-242024-09-242023-02Puri Jigyasa, Sodhi Amitoj Singh, Hamdani Hanna, Sharma Rajesh, Haq Ahatsham ul. Ultrasonographic Evaluation of First Trimester Vaginal Bleeding. International Journal of Contemporary Medical Research. 2023 Feb; 10(2): 6-92393-915X2454-7379https://imsear.searo.who.int/handle/123456789/228185Introduction: Vaginal bleeding after confirmation with a positive pregnancy test requires further assessment in order to identify normal or abnormal development of the pregnancy or a pathological condition that requires intervention. To evaluate the role of ultrasonography in patients with bleeding in the first trimester of pregnancy and to correlate ultrasonographic findings with clinical diagnosis thus helping the treating obstetrician in deciding the management protocol. Materials and methods: The study included all the patients (inpatient and outpatient) with history of vaginal bleeding in the first trimester of pregnancy, referred from the Department of Obstetrics and Gynaecology. 158 patients presenting with bleeding in the first trimester of pregnancy were enrolled for the study. Results: In our study fetal cardiac activity with closed internal os on USG was seen in 45 patients.38 patients showed heterogenous thickened endometrium, no fetal cardiac activity was seen in 27 patients, intrauterine gestational sac without yolk sac or fetal node was seen in 17 patients. Sonographic features suggestive of ectopic pregnancy were present in 19 patients. 6 patients had homogenous apposed endometrium. USG showed echogenic mass with cystic areas in 6 patients. Conclusion: The common causes of bleeding during first trimester of pregnancy include abortions, ectopic pregnancy and molar pregnancy. Ultrasound is a non-invasive, nonionizing and easily available method of investigation that helps in the differentiation of causes of first trimester vaginal bleeding.UltrasonographicFirst TrimesterVaginal BleedingJournal ArticleIndiaAssistant Professor, Department of Radio-Diagnosis and Imaging ASCOMS Hospital, JammuPG Resident, Department of RadioDiagnosis and Imaging ASCOMS Hospital, JammuPG Resident,Department of Radio-Diagnosis and Imaging ASCOMS Hospital,JammuProfessor-HOD, Department of Radio-Diagnosis and Imaging ASCOMS Hospital, JammuPG Resident, Department of Radio-Diagnosis and Imaging ASCOMS Hospital, Jammu