Vol. 4, Issue 12 (2018)
Clinical outcome of the vaginal bleeding observed in first trimester of pregnancy diagnosed by ultrasonography
Author(s): Dr. Shalini Kumari, Dr. Pallawi Singh, Dr. Ajeet Kumar
Abstract: Sonography plays important role in determining that a normal foetus is present, alive and to exclude other causes of bleeding such as ectopic pregnancy, molar pregnancy and risk of miscarriages which are associated with heavy bleeding during first trimester of pregnancy. Hence based on above reported findings the present study was planned to assess the role of ultrasound in the accurate diagnosis of causes of first trimester bleeding in pregnancy and the management of the condition. 50 pregnant females referred to Department of Obstetrics & Gynaecology in Sri Krishna Medical College and Hospital, Muzaffarpur were enrolled in the present study. The pregnant women having vaginal bleeding were considered in the present study. Ultrasonographic examination was done. Trans abdominal and Trans vaginal examination was done to observe the position of the gestational sac. Cardiac activity and Crown-rump length (CRL) of the fetus also noted. Clinical examination was done in the doubtful cases. Ultrasound is a very valuable tool in the diagnosis of various causes of bleeding per vagina in first trimester of pregnancy. Ultrasound positively helps in assessing the safe continuation of pregnancy, timely intervention for abnormal pregnancy and avoiding unnecessary intervention in those cases who do not need them.
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