Ultrasound in Prediction of Threatened Abortion in Early Pregnancy: A clinical Study | ||
| International Journal of Medical Arts | ||
| Article 17, Volume 2, Issue 2, April 2020, Pages 451-456 PDF (224.18 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ijma.2020.17353.1032 | ||
| Authors | ||
| Shimaa Shaker Zeed Saleh* 1; Khattab Abd El-halim Omar Khattab2; Ehab Mohammed Elhelw2 | ||
| 1Department of Obstetrics and Gynecology, Damietta Specialized Hospital, Ministry of Health, Egypt | ||
| 2Department of Obstetrics and Gynecology, Damietta Faculty of Medicine, Al-Azhar University, Egypt | ||
| Abstract | ||
| Background: early pregnancy loss is a challenging health problem and the prediction of exposed females is mandatory to permit early intervention and prevention. Aim of the work: to assess utility of ultrasound in detection of threatened abortion in early pregnancy. Patients and methods: one hundred females with history of threatened abortion were included. A written consent was obtained from each participant. Patients were divided into two groups: Group (I): 85 Cases who continued their pregnancy. Group (II): 15 Cases ended by abortion. All females were submitted to: detailed history, clinical examination (General and abdominal) and investigations in the form of ultrasound. Data were collected and statistically analyzed. Results: 15% of studied females had early miscarriage. There was a significant relation between occurrence of abortion and gestational age as abortion was more frequent with reduced gestational age. In addition, high parity (P1-2) was significantly associated with abortion. Also, current abortion associated with abortion in previous pregnancy, sub-chorionic hematoma, irregular wall of gestational sac and low fetal heart rate. The best cutoff of fetal heart rate is 100 beat/minute. The sensitivity of fetal heart rate in prediction of abortion was 67.1%, specificity was 80.0%, PPV was 95.0%, NPV was 30.0% and overall accuracy was 69%. Conclusion: The sonographic findings have a prognostic value that interacts with other clinical and maternal factors analyzed. Some parameters considered as prognostic factors and include irregular wall of gestational sac, perigestational hemorrhage and embryonic bradycardia | ||
| Keywords | ||
| Ultrasound; Miscarriage; First trimester; Gestational sac; Perigestational hematoma | ||
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