Version 1
: Received: 30 May 2023 / Approved: 30 May 2023 / Online: 30 May 2023 (12:38:38 CEST)
How to cite:
Baños Cándenas, L.; González Mesa, E.; Castaño Frías, L.; Abehsera Davó, D. Retrospective Study of the Metrorrhagia of the First Trimester. Follow-up and Gestational Complications. Preprints2023, 2023052141. https://doi.org/10.20944/preprints202305.2141.v1
Baños Cándenas, L.; González Mesa, E.; Castaño Frías, L.; Abehsera Davó, D. Retrospective Study of the Metrorrhagia of the First Trimester. Follow-up and Gestational Complications. Preprints 2023, 2023052141. https://doi.org/10.20944/preprints202305.2141.v1
Baños Cándenas, L.; González Mesa, E.; Castaño Frías, L.; Abehsera Davó, D. Retrospective Study of the Metrorrhagia of the First Trimester. Follow-up and Gestational Complications. Preprints2023, 2023052141. https://doi.org/10.20944/preprints202305.2141.v1
APA Style
Baños Cándenas, L., González Mesa, E., Castaño Frías, L., & Abehsera Davó, D. (2023). Retrospective Study of the Metrorrhagia of the First Trimester. Follow-up and Gestational Complications. Preprints. https://doi.org/10.20944/preprints202305.2141.v1
Chicago/Turabian Style
Baños Cándenas, L., Lucía Castaño Frías and Daniel Abehsera Davó. 2023 "Retrospective Study of the Metrorrhagia of the First Trimester. Follow-up and Gestational Complications" Preprints. https://doi.org/10.20944/preprints202305.2141.v1
Abstract
Background and Objectives: The purpose of this study was to describe and evaluate the bleeding that occurs during the first weeks of gestation and its implications throughout pregnancy. Secondarily, we assessed the associated complications in order to identify potential risk factors that could be used to select women at higher risk of adverse outcomes that could benefit from an early diagnosis and improved monitoring. Materials and Methods: We made a selection of all the women who consulted in the Emergency Department of the Hospital QuirónSalud in Malaga on 2015 presenting with first trimester metrorrhagia. We refer to first trimester metrorrhagia as that which occurs until week 12+6. Once these pregnant women were identified, we studied several variables not related to the gestation and some others associated with it and its natural course. Results: The average age of the patients assessed was 34.1. Associated gestational complications were metrorrhagia in the second trimester (6.3%), threatened preterm labour (7.4%), preeclampsia (2.5%), gestational diabetes (7.4%), late abortion (1.2%) and early postpartum hemorrhage (1.8%). We sought associations to assess possible risk factors, establishing an increased maternal age as an aggravating factor for the development of complications. We also studied gestational complications finding a higher prevalence of them in older women, such as prematurity (33.11 vs 34.48 years), gestational diabetes (33.11 vs 36.06 years) and preeclampsia (33.25 vs 35 years). Conclusions: Maternal age is a risk factor for first-trimester spontaneous miscarriage and for the development of complications of pregnancy. It is crucial to perform a correct screening of different pathologies throughout the pregnancy to anticipate potential complications.
Keywords
First trimester bleeding; Metrorrhagia of the first trimester; emergency room; gestational complications
Subject
Medicine and Pharmacology, Obstetrics and Gynaecology
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
