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Vaginal bleeding in first trimester could be due to obstetrical or gynaecological causes. It needs to be evaluated critically to rule out life threatening complications such as mole or ectopic. If pregnancy continues, it should be considered high risk due to possibility of developing various pregnancy complications like placenta previa, abuptio placenta, preterm labour, premature rupture of membranes (PROM), foetal growth restriction (FGR) etc and should be monitored closely. Gynaecological causes also have to be investigated and managed.
Keywords: Abortion; PROM; Ectopic; Mole; Erosion; Polyp; Cancer cervix