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

Betül Keyif; Engin Yurtçu; Toprak Mustafa Öztürk; Metehan Özen; Sahra Merve Yıldız; Mustafa Boğan

Makale detayları

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

Yazarlar:

Betül Keyif | Engin Yurtçu | Toprak Mustafa Öztürk | Metehan Özen | Sahra Merve Yıldız | Mustafa Boğan

Yayıncı:

Duzce University

Ana Başlıklar:

Klinik Tıp Bilimleri (Diğer)

Dergi:

Sağlık Bilimlerinde Değer Vol.15 Issue 3, pp.448-454

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001358917

pISSN:

2792-0542

Anahtar kelimeler:

Özet:

 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 p0.001. Deliveries occurred more frequently at night 00:0005:59, while miscarriage risk peaked during evening admissions 18:0023:59. 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; OR1.89, 95 CI: 1.452.47, p0.001. 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.

 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 p0.001. Deliveries occurred more frequently at night 00:0005:59, while miscarriage risk peaked during evening admissions 18:0023:59. 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; OR1.89, 95 CI: 1.452.47, p0.001. 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.

 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 p0.001. Deliveries occurred more frequently at night 00:0005:59, while miscarriage risk peaked during evening admissions 18:0023:59. 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; OR1.89, 95 CI: 1.452.47, p0.001. 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.

 Amaç: Bu çalışma, üçüncü trimesterde vajinal kanama şikâyetiyle acil servise başvuran gebelerin klinik özelliklerini ve sonuçlarını değerlendirmeyi amaçlamaktadır. Gereç ve Yöntemler: Bu retrospektif, gözlemsel çalışmaya, Ocak 2013Aralık 2023 tarihleri arasında 28. gebelik haftasında olup vajinal kanama nedeniyle acil servise başvuran gebeler dahil edildi. Demografik veriler, parite, gebelik haftası, başvuru zamanı, kanama şiddeti, vital bulgular, laboratuvar sonuçları ve klinik sonuçlar doğum, yatış, taburculuk, düşük riski analiz edildi. Bulgular: Çalışmaya toplam 1263 gebe dahil edildi. En sık başvuru nedeni 49,9 ile lekelenme tarzı kanama, ikinci sırada ise 46,8 ile aktif vajinal kanama yer aldı. Tüm hastaların 33,7si hastaneye yatırıldı, 12,9u doğum yaptı, 15,1i düşük riski olarak değerlendirildi. Kanama şiddeti arttıkça doğum ve düşük riski oranları anlamlı şekilde yükseldi p0,001. Gece saatlerinde 00:0005:59 doğum oranları daha yüksek bulunurken, akşam başvurularında 18:0023:59 düşük riski en fazla görüldü. Parite ile sonuçlar arasında anlamlı ilişki saptandı; multipar hastalarda doğum oranı daha yüksekken 10,7 vs. 5,8, primipar hastalarda düşük riski daha yüksekti 59,3 vs. 44,0; OR1,89, 95 GA: 1,452,47, p0,001. Sonuç: Üçüncü trimester vajinal kanamaları, kanama şiddeti, başvuru zamanı ve pariteye göre değişken klinik sonuçlar doğurabilen önemli obstetrik acillerdir. Acil tıp ve kadın doğum hekimlerinin bu risk desenlerini tanıması ve multidisipliner iş birliği içinde hareket etmesi gerekmektedir. Kanıta dayalı protokollerin geliştirilmesi, bu yüksek riskli grupta maternal ve fetal sonuçları iyileştirebilir.

Makale detayları

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

Yazarlar:

Betül Keyif | Engin Yurtçu | Toprak Mustafa Öztürk | Metehan Özen | Sahra Merve Yıldız | Mustafa Boğan

Yayıncı:

Duzce University

Ana Başlıklar:

Klinik Tıp Bilimleri (Diğer)

Dergi:

Sağlık Bilimlerinde Değer Vol.15 Issue 3, pp.448-454

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001358917

pISSN:

2792-0542

Third trimester bleeding

Emergency department

Vaginal bleeding

Obstetric emergencies

Maternal outcomesÜçüncü trimester kanamaları

Acil servis

Vajinal kanama

Obstetrik acil

Maternal sonuçlar

Sayı

Makale detayları

Yazarlar: Betül Keyif | Engin Yurtçu | Toprak Mustafa Öztürk | Metehan Özen | Sahra Merve Yıldız | Mustafa Boğan

Yayıncı: Duzce University

Ana Başlıklar: Klinik Tıp Bilimleri (Diğer)

Dergi: Sağlık Bilimlerinde Değer Vol.15 Issue 3, pp.448-454

Belge Tipi: Makale

Yayın Tarihi: 9/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001358917

pISSN: 2792-0542

Sayı

Yazarlar:

Betül Keyif | Engin Yurtçu | Toprak Mustafa Öztürk | Metehan Özen | Sahra Merve Yıldız | Mustafa Boğan

Yayıncı:

Duzce University

Ana Başlıklar:

Klinik Tıp Bilimleri (Diğer)

Dergi:

Sağlık Bilimlerinde Değer Vol.15 Issue 3, pp.448-454

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001358917

pISSN:

2792-0542