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

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