Title: Ultrasound Evaluation in Various First Trimester Abortions

Authors: Dr Sheethal CM, Dr Mangalanandan, Dr K.Sudheer, Dr Geena Benjamin

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i4.160

Abstract

Aim: To evaluate sonographic features of complications related to first trimester pregnancy like different types of abortion, by trans abdominal and trans vaginal study.

Methodology:  Prospective study conducted  in 149 patients referred to the Department of Radiodiagnosis, Pushpagiri Institute of Medical Sciences & Research Center, Tiruvalla for antenatal sonography for a period of two years.

Method of Data Collection: Data for the study was collected by pre-prepared case proforma which included detailed clinical history, physical examination findings and USG findings.

Conclusion: The present study confirms the role of ultrasound in early pregnancy and its complications since it gives a definitive diagnosis of early pregnancy and is invaluable in assessing fetal viability.

Keywords: abortion, first trimester, ultrasound.

References

1.      Bennet GL, Bromley B, Leiberman E et al.  Subchorionic hemorrhage in first trimester pregnancies: Prediction of pregnancy outcome with sonography. Radiology 1996;200:803-806.

2.      Pearlstone M, Baxi L. Subchorionic hematoma: a review. Obstet Gynecol Surv 1993;48:65–8.

3.      Nagy S, Bush M, Stone J, Lapinski RH, Gardo S. Clinical significance of retroplacental hematomas detected in the first trimester of pregnancy. Obstetrics & Gynaecology 2003;102:94-100.

4.      Bryann Bromley, Bernard L. Harlow, Lane A. Laboda, Beryl R. Benacerraf,  Small Sac Size in the First Trimester: A Predictor of Poor Fetal Outcome.

5.      Daniel J. Lindsay, Ian S. Lovett, Edward A. Lyons, Clifford S. Levi,  Xin-Hua Zheng, Susan C. Holt et al. Yolk Sac Diameter and Shape at Endovaginal US: Predictors of Pregnancy Outcome in the First Trimester

6.      Gezer, A. et al. Early first trimester ultrasound examination. Is it really efficient in the clinical management of the pregnancy? Archives of Gynecology and Obstetrics. 2002;267:76-80.

7.      Temitope OB, Victor OO. The reliability of ultrasonography in determining the degree of completeness of first trimester spontaneous abortion.Tropical Journal of Obstetrics and Gynaecology Vol. 22(2) 2005:113-115

8.      Scott, RF, Featherstone T, Hussey JK. Ultrasound of the empty gestation sac in threatened abortion. Clinical  Radiology  1987;38:127-130.

9.      Daya S. Habitual abortion. In: Copeland LJ, ed. Textbook of gynecology. Philadelphia, PA: WB Saunders; 2000: 227–71.

10.  Mansur, MM. Ultrasound diagnosis of complete abortion can reduce need for curettage. European Journal Of Obstetrics Gynecology And Reproductive Biology  1992;44:65-69.

Corresponding Author

Dr Sheethal CM