Ultrasound in Prediction of Threatened Abortion in Early Pregnancy: A clinical Study

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 f...

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Autores principales:	Shimaa Saleh, Khattab Khattab, Ehab Elhelw
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2020
Materias:	ultrasound miscarriage first trimester gestational sac perigestational hematoma Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/5d7fb0fdcd0e4a869f641f6e6a724082
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spelling	oai:doaj.org-article:5d7fb0fdcd0e4a869f641f6e6a7240822021-12-02T13:52:45ZUltrasound in Prediction of Threatened Abortion in Early Pregnancy: A clinical Study2636-41742682-378010.21608/ijma.2020.17353.1032https://doaj.org/article/5d7fb0fdcd0e4a869f641f6e6a7240822020-04-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_82668_6f96b733b5b107e54c1d798f88f910b1.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: 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 bradycardiaShimaa SalehKhattab KhattabEhab ElhelwAl-Azhar University, Faculty of Medicine (Damietta)articleultrasoundmiscarriagefirst trimestergestational sacperigestational hematomaMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 2, Pp 451-456 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	ultrasound miscarriage first trimester gestational sac perigestational hematoma Medicine (General) R5-920
spellingShingle	ultrasound miscarriage first trimester gestational sac perigestational hematoma Medicine (General) R5-920 Shimaa Saleh Khattab Khattab Ehab Elhelw Ultrasound in Prediction of Threatened Abortion in Early Pregnancy: A clinical Study
description	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
format	article
author	Shimaa Saleh Khattab Khattab Ehab Elhelw
author_facet	Shimaa Saleh Khattab Khattab Ehab Elhelw
author_sort	Shimaa Saleh
title	Ultrasound in Prediction of Threatened Abortion in Early Pregnancy: A clinical Study
title_short	Ultrasound in Prediction of Threatened Abortion in Early Pregnancy: A clinical Study
title_full	Ultrasound in Prediction of Threatened Abortion in Early Pregnancy: A clinical Study
title_fullStr	Ultrasound in Prediction of Threatened Abortion in Early Pregnancy: A clinical Study
title_full_unstemmed	Ultrasound in Prediction of Threatened Abortion in Early Pregnancy: A clinical Study
title_sort	ultrasound in prediction of threatened abortion in early pregnancy: a clinical study
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2020
url	https://doaj.org/article/5d7fb0fdcd0e4a869f641f6e6a724082
work_keys_str_mv	AT shimaasaleh ultrasoundinpredictionofthreatenedabortioninearlypregnancyaclinicalstudy AT khattabkhattab ultrasoundinpredictionofthreatenedabortioninearlypregnancyaclinicalstudy AT ehabelhelw ultrasoundinpredictionofthreatenedabortioninearlypregnancyaclinicalstudy
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Ultrasound in Prediction of Threatened Abortion in Early Pregnancy: A clinical Study

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