Obstetric outcome of second trimester antenatal bleeding |
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Authors: | Şafak Özdemirci Erhan Demirdağ Taner Kasapoğlu Ertuğrul Karahanoğlu Emre Başer Serdar Yalvaç |
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Affiliation: | 1. Department of Obstetrics and Gynecology, Obstetrics Clinic, Etlik Zubeyde Han?m Women’s Health Education and Research Hospital, Ankara, Turkey, safakozdemirci@gmail.com;3. Department of Obstetrics and Gynecology, Perinatology &4. High-Risk Pregnancy Clinic, Etlik Zubeyde Han?m Women’s Health Education and Research Hospital, Ankara, Turkey, and;5. High-Risk Pregnancy Clinic, Etlik Zubeyde Han?m Women’s Health Education and Research Hospital, Ankara, Turkey, and;6. Department of Epidemiology, Institute of Health Sciences, Hacettepe University, Ankara, Turkey;7. Department of Obstetrics and Gynecology, Obstetrics Clinic, Etlik Zubeyde Han?m Women’s Health Education and Research Hospital, Ankara, Turkey, |
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Abstract: | Objective: To evaluate the clinical significance of vaginal bleeding in pregnant women between 14th and 22th gestational weeks.Methods: This retrospective case–control study was conducted between September 2010 and December 2013. Two-hundred nineteen pregnant women with vaginal bleeding between 14th and 22th gestational weeks were compared with 325 pregnant women without vaginal bleeding for their maternal and early neonatal outcomes.Results: Mean gestational age and birth weight of study group were significantly different from those of the control group respectively (37.9?±?2.8 versus 38.9?±?1.4 and 3071?±?710 versus 3349?±?446 for groups p?<?0.001). Vaginal bleeding between 14th and 22th gestational weeks had increased risk of having preterm birth (PB) and preterm premature rupture of membranes (PPROM) (OR: 10.8, 95% CI: 4.5–26.1]; OR: 12.0, 95% CI: 3.5–40.6], respectively). Gestational diabetes mellitus (GDM) and polyhydramnios ratio in the study group was significantly higher than the control respectively (4.1% versus 1.2%, p?=?0.031; 1.9% versus 0%, p?=?0.025).Conclusion: Pregnant women with vaginal bleeding was a significantly risk factor for PB, PPROM, GDM, and polyhydramnios. Consequently, these pregnancies should be closely followed up for maternal and fetus complications. |
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Keywords: | Antenatal bleeding outcome preterm labor second trimester |
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