Background: To about 15% to 25% of early pregnancies have vaginal bleeding? Vaginal bleeding in the first trimester of pregnancy affects 50 % of pregnant women, although the event may be controlled in various methods that alleviate the woman's concern. Pregnancy-related vaginal bleeding should be taken carefully. Vaginal bleeding during pregnancy might be a sign of an approaching miscarriage or a problem that requires immediate attention. If you know the most frequent reasons for vaginal bleeding during pregnancy, you will be able to act quickly and effectively. Methods: The study was a descriptive observational one with a sample size of 100 patients and was performed at the Department of Gynaecology and Obstetrics, Rajshahi Medical College Hospital, Rajshahi, Bangladesh. The study period was 15th July 2013 to 16th January 2014. Results: Among the 100 patients in this study maximum was within 21 to 30 years (53%). In most cases (57%), heavy bleeding was present in 15% of patients. Patients with heavy bleeding had a positive history of pain (80%), but the amount was reduced in the light or spotting group (61.18%). Fifty-seven percent of patients experienced bleeding for 2 to 3 days. Most patients (43%) reported bleeding during 8 to 10 weeks of gestation. This study showed that early pregnancy PV bleeding is more common in multigravida patients. History of stillbirth, IUD or abortion was proved to be strong predictors. DM and anaemia were found to be important associated diseases. In this study, 91% of patients were diagnosed as a case of abortion. Ectopic pregnancy was present in 5% of patients, and only 4 patients were found to have a molar pregnancy. In patients with abortion, incomplete is the maximum one (56.04%), next missed (23.08%), and threatened (14.28%). Complete was present in 6.59% of patients. 69.23% of patients continued their pregnancy in case of threatened abortion with a conservative. But 23.08% converted to incomplete and 7.69% to missed. Missed abortions were successfully treated with vaginal misoprostol in 38% of patients. Evacuation & curettage was done in 78.43% of patients with incomplete abortion, and patients with less bleeding and stability (21.57%) were given oral misoprostol. This was effective in 63.63% of patients. All 5 cases of ectopic pregnancy were treated with laparotomy, and in molar pregnancy cases, the only treatment was suction, Evacuation and curettage. Conclusion: The findings of this study, despite its limitations, give crucial new information regarding early pregnancy bleeding, including statistics on the timing, heaviness and length, color, and overall number of episodes. Pregnancy outcomes will be examined as a possible link between bleeding episodes and early pregnancy biology, placental pathophysiology, and pregnancy outcomes.