ABSTRACT
Background: Vaginal bleeding is a common obstetric problem and a cause of anxiety and worry both to patients and the Obstetrician. The common cause of bleeding in 1st trimester include various types of abortion, ectopic pregnancy and molar pregnancy. This study was conducted to assess the maternal and perinatal outcome in pregnant women who present with first trimester vaginal bleeding.Methods: A Prospective study (Longitudinal study) among pregnant women presenting with First trimester bleeding was conducted for a period from November 2017 to Jan 2019 at Mysore Medical College and Hospital 200 subjects were included into the study by Multiphasic sampling method using a structured questionnaire to collect the data.Results: The study observed that among 200 subjects who were included in the study 123 (61.5%) were non-viable pregnancy and 67 (38.5%) were viable pregnancy. Among 67 viable pregnancy only 30 (47%) had no obstetrical complications, 11 (17.1%) aborted and others had problems of PROM, Preterm labour, Placenta previa, IUGR and IUD.Conclusions: It can be concluded that first trimester bleeding is a predicting factor for obstetric and perinatal complications during pregnancy. Hence it is necessary to increase the knowledge of pregnant women in this regard for closer care. It is also important factor for clinician to be attentive towards first trimester bleeding in providing clinical interventions for the continuation of pregnancy and also reducing the fetal complications in these high-risk pregnancies.
ABSTRACT
Background: The thrombocytopenia in preeclampsia is mild to moderate, but severe thrombocytopenia can occur. Patients with eclampsia were at even greater risk for developing severe thrombocytopenia. And more likely to have HELLP syndrome, which is a subset of preeclampsia. Thrombocytopenia is a key and necessary component of this syndrome. The objective of the present study was to observe a clinical study of maternal outcome among pregnant mothers suffering from preeclampsia with thrombocytopenia.Methods: A Hospital based Study was conducted at Mysore Medical College from January 2018 to December 20180 in the department of Obstetrics and gynecology. A total of 100 cases of Pregnancy from the records / case sheets of pregnant women with pregnancy induced hypertension admitted in the labor ward of the department of obstetrics and gynecology, Mysore Medical College, Mysore, Karnataka, India.Results: Majority of the study subjects in present study were aged between 21-25 years (42%) followed by <20 years (26%). Nearly 55% of the study group were prim parous. In the above table out of 100 cases included in the study, 28 and 40 cases presented with mild and severe pregnancy induced hypertension, 8 cases were diagnosed as eclampsia and 24 cases presented with HELLP syndrome. The association between the mode of delivery and the variants of PIH was found to be statistically not significant. The Association between Mode of delivery and gestation weeks among the eclampsia cases was found to be not significant.Conclusions: Thrombocytopenia in pregnancy induced hypertension carries a risk for both the mother and her fetus. The associated causes like abruption, retain dead fetus, septicemia and disseminated intravascular coagulation aggravates the complication for thrombocytopenia.