Cause of Bleeding in Early Pregnancy

Abstract

One hundred and eighteen consecutive patients who presented with bleeding per vaginum in early pregnancy were evaluated. Abortion related bleeding was present in one hundred patients, ectopic pregnancy was the cause in fifteen, molar pregnancy in one and local incidental causes were diagnosed in two women. Seventy-eight patients had evacuation of uterus. Of those diagnosed having ectopic pregnancy, nine (60%) required straightaway laparotomy and six (40%) underwent laparoscopy (40%) for confirmation of diagnosis In the two patients with local causes pap smear revealed no abnormality and conservative management was opted.