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Abstract

Aims and Objectives: 1 To study perinatal outcome in early pregnancy hemorrhage.2)To study perinatal outcome in late pregnancy hemorrhage. Materials and Methods: 1. This is observational prospective study performed within span of 1 year (August 2014 to July 2015) in the Department of Obstetrics and Gynaecology in ACPM Medical college, Dhule. 2 Total number of 200 women with bleeding per vaginal during pregnancy were enrolled in the study. The patients who presented with vaginal bleeding were divided into: 1 Early pregnancy bleeding < 20 weeks, 2. Late pregnancy bleeding > 20 weeks Since the demographic profile, etiology, risk factors involved, maternal and perinatal morbidities and mortalities associated with early and late pregnancy group are drastically different, so the cases in this study are divided into two groups -EARLY (<20 weeks) and LATE (>20 weeks). Results: In this study, 66% patients presented with early pregnancy bleeding and 34% with late pregnancy bleeding. Perinatal outcome in Early pregnancy bleeding:-30% spontaneous abortion, 7.6% preterm delivery, 4.5% IUGR. Perinatal outcome in Late pregnancy bleeding:-3% stillbirth, 14.7% IUGR, 5.9% IUD, 58.8% preterm birth, 2.9% early and late neonatal deaths. Conclusion: Vaginal bleeding at any stage of pregnancy is an alarming event and can be potentially life-threatening to mother and fetus. Obstetrician should ensure that patient delivers in a well equipped centre with NICU facilities and expertization of neonatologist.