Frequency of pelvic pain and bleeding per vaginum in first trimester of pregnancy in a tertiary care hospital of Karachi

Objective: The objective of this study was to determine the frequency of pelvic pain and per vaginal bleeding, in the first trimester of pregnancy

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Methods: A total of 150 pregnant women 18 to 35 years in first trimester were recruited in this crosssectional study, conducted from July 2015 to July 2016. Non-probability sampling technique was used to collect the data. The collected information from patients were entered in pre-designed proforma after taking informed consent. Data was analysed by using SPSS version 20

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Results: The average age of the patients was 26.33 +/- 4.23 [range 18-35] years. Frequency of pelvic pain and per vaginal bleeding in first trimester of pregnancy was observed in 29.33% [44/150] and 12% [18/150] respectively. Stratification analysis was performed and it was observed that rate of pelvic pain and per vaginal bleeding was not statistically significant among different age groups. Rate of pelvic pain was significantly high in women with primigravida as compare to multigravida [p=0.003]

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Conclusion: We found in our sample a significant number of women experiencing pelvic pain and vaginal bleeding in first trimester of their pregnancy. The practitioner must employ sound clinical and diagnostic skills in the management of the patient as early pregnancy complications can cause significant distress for some women and their partners