EVALUATION OF CLINICAL AND SUBCLINICAL CHARACTERISTICS IN FIRST-TRIMESTER PREGNANT WOMEN WITH VAGINAL BLEEDING AND A HISTORY OF RECURRENT PREGNANCY LOSS TREATED AT THE NATIONAL HOSPITAL OF OBSTETRICS AND GYNECOLOGY
Main Article Content
Abstract
Objective: To describe the clinical and subclinical characteristics of pregnant women with first-trimester vaginal bleeding and a history of recurrent pregnancy loss treated at the National Hospital of Obstetrics and Gynecology. Subjects and Methods: A cross-sectional descriptive study was conducted on 105 patients from 2021 to 2024. Data were collected from records and analyzed using SPSS. Results: The mean age was 31.9 ± 4.9; 72.4% were under 35 years old. Most had 2–3 prior miscarriages (60.9% and 21.9%). Uterine anomalies (27,62%), and uterine septum were significantly associated with nulliparity (p=0.028), endocrine disorders (PCOS, subclinical hypothyroidism). Assisted reproduction accounted for 20.94% after experiencing recurrent pregnancy loss.. Bleeding mainly occurred between 6–10 gestational weeks (78.1%), with or without abdominal pain.. Conclusions: Patients with recurrent miscarriage history often have endocrine and uterine abnormalities. A total of 92.4% of the pregnant women were successfully managed and discharged in a stable condition, with no persistent symptoms of threatened miscarriage.
Article Details
Keywords
Vaginal bleeding, recurrent miscarriage, first trimester, disorders, uterine anomalies
References
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