Introduction: Blood from the vagina is called vaginal bleeding. It can happen anytime between conception and delivery. Bleeding during pregnancy can worry mothers, and new research suggests it may be connected to poor fetal and maternal outcomes. First trimester bleeding concerns many obstetricians. Vaginal bleeding may occur in 25% of pregnant women in the first trimester. Half of these will miscarry within 20 weeks, and those who remain pregnant have a higher risk of complications later in pregnancy. Methods: From April 2021 to March 2022, the JLN medical college and hospital, Ajmer, obstetrics, and gynecology department did this study. The department of obstetrics and gynecology at JLN medical college and hospital, Ajmer, saw all patients with first-trimester hemorrhage. Patients with clinically suspected first trimester hemorrhage (<14 weeks) were included. All local lesions causing vaginal hemorrhage and patients over 14 weeks pregnant were excluded.