Sonographic Evaluation of the Obstetric Causes of Vaginal Bleeding During the First Trimester

Objective Antenatal vaginal bleeding, particularly during the first trimester, is worrisome for obstetricians. The common causes are all types of abortions, including molar and ectopic pregnancies. The aim is to evaluate the obstetric causes of vaginal bleeding during the first trimester. Methods Th...

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Main Author: Naveen Reddy Bandi, Ranjan Nayak Soumya, Jena Satyaswarup, Sahu Niranjan, Das Somadatta
Format: Article
Language:English
Published: Editorial Office of Advanced Ultrasound in Diagnosis and Therapy 2025-03-01
Series:Advanced Ultrasound in Diagnosis and Therapy
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Online Access:https://www.journaladvancedultrasound.com/fileup/2576-2516/PDF/1738998961633-1897682543.pdf
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author Naveen Reddy Bandi, Ranjan Nayak Soumya, Jena Satyaswarup, Sahu Niranjan, Das Somadatta
author_facet Naveen Reddy Bandi, Ranjan Nayak Soumya, Jena Satyaswarup, Sahu Niranjan, Das Somadatta
author_sort Naveen Reddy Bandi, Ranjan Nayak Soumya, Jena Satyaswarup, Sahu Niranjan, Das Somadatta
collection DOAJ
description Objective Antenatal vaginal bleeding, particularly during the first trimester, is worrisome for obstetricians. The common causes are all types of abortions, including molar and ectopic pregnancies. The aim is to evaluate the obstetric causes of vaginal bleeding during the first trimester. Methods The study population comprises 100 pregnant women with complaints of vaginal bleeding during their first trimester period. These patients were subjected to ultrasound examination to diagnose the causes of bleeding. Patients with 12 completed weeks of gestation and non-obstetrical causes of vaginal bleeding were excluded. Results The study population of 18-34 years had complained of vaginal bleeding during their first trimester of pregnancy. Most 57% were in the age group of 20-24 years. Forty-two percent of the study population presented at ten weeks of amenorrhea. Out of 100 cases, the majority (58%) were diagnosed as threatened abortion, 31% cases were diagnosed as incomplete abortion, 4% cases were diagnosed as complete abortion, 2 (2%) cases each were diagnosed as ectopic gestation, inevitable and missed abortions, and 1 (1%) case diagnosed as Hydatidiform mole. Out of 100 patients, the gestational sac was seen in 75 (75%). Conclusion Antenatal ultrasonography is helpful in accurate and early diagnosis of the causes of vaginal bleeding during the first trimester. This aids the obstetrician in selecting the best treatment planning and helps with prognosis prediction, establishing an accurate diagnosis in a few clinically misdiagnosed cases.
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spelling doaj-art-116118974b3e4dfd8ee4e5a362e543ab2025-02-12T05:45:03ZengEditorial Office of Advanced Ultrasound in Diagnosis and TherapyAdvanced Ultrasound in Diagnosis and Therapy2576-25162025-03-0191798310.37015/AUDT.2025.230039Sonographic Evaluation of the Obstetric Causes of Vaginal Bleeding During the First TrimesterNaveen Reddy Bandi, Ranjan Nayak Soumya, Jena Satyaswarup, Sahu Niranjan, Das Somadatta0Department of Radio-diagnosis, Institute of Medical Sciences and SUM Hospital, Siksha O Anusandhan Deemed to be University, Bhubaneswar, Odisha, IndiaObjective Antenatal vaginal bleeding, particularly during the first trimester, is worrisome for obstetricians. The common causes are all types of abortions, including molar and ectopic pregnancies. The aim is to evaluate the obstetric causes of vaginal bleeding during the first trimester. Methods The study population comprises 100 pregnant women with complaints of vaginal bleeding during their first trimester period. These patients were subjected to ultrasound examination to diagnose the causes of bleeding. Patients with 12 completed weeks of gestation and non-obstetrical causes of vaginal bleeding were excluded. Results The study population of 18-34 years had complained of vaginal bleeding during their first trimester of pregnancy. Most 57% were in the age group of 20-24 years. Forty-two percent of the study population presented at ten weeks of amenorrhea. Out of 100 cases, the majority (58%) were diagnosed as threatened abortion, 31% cases were diagnosed as incomplete abortion, 4% cases were diagnosed as complete abortion, 2 (2%) cases each were diagnosed as ectopic gestation, inevitable and missed abortions, and 1 (1%) case diagnosed as Hydatidiform mole. Out of 100 patients, the gestational sac was seen in 75 (75%). Conclusion Antenatal ultrasonography is helpful in accurate and early diagnosis of the causes of vaginal bleeding during the first trimester. This aids the obstetrician in selecting the best treatment planning and helps with prognosis prediction, establishing an accurate diagnosis in a few clinically misdiagnosed cases.https://www.journaladvancedultrasound.com/fileup/2576-2516/PDF/1738998961633-1897682543.pdf|sonography|obstetric|vaginal bleeding|trimester
spellingShingle Naveen Reddy Bandi, Ranjan Nayak Soumya, Jena Satyaswarup, Sahu Niranjan, Das Somadatta
Sonographic Evaluation of the Obstetric Causes of Vaginal Bleeding During the First Trimester
Advanced Ultrasound in Diagnosis and Therapy
|sonography|obstetric|vaginal bleeding|trimester
title Sonographic Evaluation of the Obstetric Causes of Vaginal Bleeding During the First Trimester
title_full Sonographic Evaluation of the Obstetric Causes of Vaginal Bleeding During the First Trimester
title_fullStr Sonographic Evaluation of the Obstetric Causes of Vaginal Bleeding During the First Trimester
title_full_unstemmed Sonographic Evaluation of the Obstetric Causes of Vaginal Bleeding During the First Trimester
title_short Sonographic Evaluation of the Obstetric Causes of Vaginal Bleeding During the First Trimester
title_sort sonographic evaluation of the obstetric causes of vaginal bleeding during the first trimester
topic |sonography|obstetric|vaginal bleeding|trimester
url https://www.journaladvancedultrasound.com/fileup/2576-2516/PDF/1738998961633-1897682543.pdf
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