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Abstract

The current study aimed to investigate the prevalence and etiological factors of pelvic pain in pregnant women during their first trimester in Sudan. The research involved 100 pregnant individuals in their first trimester, all experiencing pelvic pain, who underwent ultrasound examinations. Data were collected on variables including age, gestational age, and body mass index (BMI). Logistic regression analyses were conducted to assess the relationship between these variables and the nature of the pelvic pain. The study found a 53% prevalence of pelvic pain among the participants, with 47% also reporting vaginal bleeding and pelvic pain. 72% had gynecological etiologies, most commonly miscarriage at 29%, followed by fibroids 15%, while 9% had non-gynecological etiologies, led by appendicitis at 5%. The remaining 14% showed normal findings. The co-occurrence of pelvic pain and vaginal bleeding significantly increased the odds of the pain being gynecological (Odds Ratio=5, p=0.03). However, other variables like age, gestational age, and BMI did not show a statistically significant association with the etiology of the pain. This study provides critical insights into the prevalence and etiology of pelvic pain in pregnant women during the first trimester. It suggests that the presence of both pelvic pain and vaginal bleeding necessitates more rigorous diagnostic evaluations. The findings have important implications for healthcare providers in the diagnosis and management of pelvic pain in pregnant women‎.

Keywords: Pelvic pain, Pregnancy, First trimester, Vaginal bleeding, Ultrasound, Etiology

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