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Category: Volume 08 Issue 11 November 2020
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Title: Role of Ultrasonography in Investigating the Causes of Bleeding per Vaginum in the first Trimester of Pregnancy

Authors: Dr Hussain Jabeen Bano, Dr Zulfakar Ali Shaik, MD

 DOI: https://dx.doi.org/10.18535/jmscr/v8i11.49

Abstract

Introduction

  • Vaginal bleeding in early pregnancy is a relatively common presentation in the acute obstetric and gynecological setting, and ultrasonography remains the safest and fastest way of evaluating these
  • The causes of bleeding during the first trimester include various types of abortions, ectopic pregnancy, and molar
  • Clinical history and pelvic examination are inadequate in assessing the prognosis in such
  • The objective of our study was to evaluate the role of ultrasound in the evaluation of a patient with first trimester bleeding to determine the accuracy of ultrasound in the diagnosis of early pregnancy failure and to guide the obstetrician for the correct management of the

Objectives of the Study

  • To evaluate the role of ultrasonography in a patient with bleeding per vaginum in the first trimester of
  • To correlate ultrasound findings with clinical diagnosis, thus helping the treating obstetrician in deciding the management

Materials and Methods

  • We studied 30 cases of pregnant women who presented with bleeding per vaginum during the first The main source of data for this study were women who presented with bleeding per vaginum in the first trimester of pregnancy and referred to the department of radiodiagnosis from the department of Obstetrics and Gynecology in Konaseema Institute of Medical Sciences and Research Foundation, Amalapuram, for the period of 16 months.
  • All patients were evaluated with clinical history, clinical examination, and
  • Ultrasonographic examination was done using the following

- PHILIPS CLEARVUE 650.

 - GE LOGIQ F8.

References

  1. Rumack CM, Wilson SR, Charboneau JW, Levine Overview of obstetric Imaging: Diagnostic Ultrasound, 4th Ed. USA: Mosby; 2011; 2: p. 1040-1060.
  2. Donald I. Ultrasonic echo sounding in obstetrical and gynecologic diagnosis. Am J Obstet 1965; 93:p. 935- 41.
  3. Tole, Nimrod M. Basic physics of ultrasonic imaging. WHO 2005; p. 1 –
  4. Levi CS. Ultrasound in prenatal diagnosis: polemics around routine ultrasound screening for second-trimester fetal malformations. Prenat Diag 2002; 22(4):p. 285-
  5. Ewingman BG, Crane JP, Frigoletto FD, et al. Effect of prenatal ultrasound screening on perinatal outcome. N Engl J Med.1993; 329: p.821-
  6. Stork Net, s Pregnancy Channel. What are some of the causes of first trimester bleeding? [cited 2009 Dec11].
  7. Chaudhary Vidya, Sharma Sanjaya, Chaudhary G.S. ultrasonographic evaluation of first trimester vaginal bleeding. J Advance Researches in Biological Sciences. 2011; 3 (2):p. 60-62.
  8. Dogra V, Paspulati RM, Bhatt S. First trimester bleeding evaluation. Ultrasound Q. 2005; 21: 69-85.
  9. Dighe M, Cuevas C, Moshiri M, Dubinsky T, Dogra Sonography in first trimester bleeding. J Clin. Ultrasound. 2008; 36: 352-66.
  10. Paspulati RM, Bhatt S, Nour SG. Sonographic evaluation of first-trimester Radiol Clin. North Am. 2004; 42: 297- 314.Hasan R B, Donna D, Herring A H, Olshan, A F, Jonsson F, Michele L H, Katherine
  11. Association Between First- Trimester Vaginal Bleeding and Miscarriage. Obstetrics & Gynecology, 2009; 114:p. 860-867.
  12. Forrest TS, Elyaderani MK, Mulenberg MI. Cyclic endometrial changes: US assessment with histologic correlation. Radiology; 1988; 167:233.
  13. oldstein RB, Bree RL, Benson CB. Evaluation of the woman with postmenopausal bleeding: Society of Radiologists in Ultrasound- Sponsored Consensus Conference J Ultrasound Med. 2001; 20:1025–1036.
  14. Moore, Persuad: The Developing Human-Clinically Oriented Saunder’s Elsevier, India. 2003: 7th edition: 15- 100.
  15. American College of ACR practice guideline for the performance of antepartum obstetrical ultrasound. In: ACR practice guidelines and technical standards. Philadelphia, 2007, ACR, p. 1025-1033.
  16. Levi CS, Lyons EA, Lindsay Early diagnosis of non-viable pregnancy with endovaginal ultrasound. Radiology 1988; p. 167: 383-385.
  17. Levi CS, Lyons EA, Zheng XH, et al. Endovaginal ultrasound: demonstration of cardiac activity in embryos of less than 5mm crown-rump length. Radiology 1990; 176:p. 71-74.
  18. Phillip J Switzer, Catherine A James, Monicah A Frettag. Value and Limitations of Obstetrical Ultrasound. Can Fam 1992; 38:p. 121–128.

Corresponding Author

Dr Hussain Jabeen Bano

JR, Konaseema Institute of Medical Sciences and Research Foundation