Clinical Outcomes of Third Trimester Pregnant Women Presenting to the Emergency Department with Vaginal Bleeding: A 10-Year Retrospective Analysis

Authors : Betül Keyif, Engin Yurtçu, Toprak Mustafa Öztürk, Metehan Özen, Sahra Merve Yıldız, Mustafa Boğan
Pages : 448-454
Doi:10.33631/sabd.1745623
View : 45 | Download : 64
Publication Date : 2025-09-24
Article Type : Research Paper
Abstract :Aim: This study aimed to evaluate the clinical characteristics and outcomes pregnant women in the third trimester presenting to the emergency department with vaginal bleeding. Material and Methods: This retrospective, observational study included pregnant women at ≥28 weeks of gestation who presented to the ED with vaginal bleeding between January 2013 and December 2023. Demographic characteristics, parity, gestational age, timing of admission, bleeding severity, initial vital signs, laboratory results, and clinical outcomes (delivery, admission, discharge, miscarriage risk) were analyzed. Results: A total of 1263 pregnant women were included. The most frequent complaints were spotting (49.9%) and active vaginal bleeding (46.8%), accounting for over 96% of all visits. Of all patients, 33.7% were hospitalized, 12.9% delivered, and 15.1% were categorized as miscarriage risk. Heavier bleeding was significantly associated with both delivery and miscarriage risk (p<0.001). Deliveries occurred more frequently at night (00:00–05:59), while miscarriage risk peaked during evening admissions (18:00–23:59). Parity was significantly associated with outcomes: multiparous women were more likely to deliver (10.7% vs. 5.8%), whereas primiparous women had higher miscarriage risk (59.3% vs. 44.0%; OR=1.89, 95% CI: 1.45–2.47, p<0.001). Conclusion: Third-trimester vaginal bleeding is a complex emergency with variable outcomes depending on bleeding severity, timing of presentation, and parity. Emergency physicians and obstetricians should recognize these risk patterns and collaborate closely in managing such cases. Development of evidence-based protocols may improve maternal and fetal outcomes in this high-risk population.
Keywords : Üçüncü trimester kanamaları, Acil servis, Vajinal kanama, Obstetrik acil, Maternal sonuçlar

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