Outcome of First Trimester Pregnancy in Cases with Impending Embryonic Demise

Background: Miscarriage is the most common adverse pregnancy outcome which has detrimental psychological consequences for the woman and her partner and delays successful childbearing. Normal embryonic heart rate is about [100-200] bpm at 5 weeks gestation then it increases progressively over the sub...

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Autores principales: Hend Hassan, Mohammed Nasr, Walaa El-Bassioune
Formato: article
Lenguaje:EN
Publicado: Al-Azhar University, Faculty of Medicine (Damietta) 2020
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Acceso en línea:https://doaj.org/article/d35c5e086ed94b0b82ec62c996b2702c
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spelling oai:doaj.org-article:d35c5e086ed94b0b82ec62c996b2702c2021-12-02T14:02:00ZOutcome of First Trimester Pregnancy in Cases with Impending Embryonic Demise2636-41742682-378010.21608/ijma.2019.15189.1020https://doaj.org/article/d35c5e086ed94b0b82ec62c996b2702c2020-01-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_55374_5b80ed2e03084b2fcf103d908ee1578c.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Miscarriage is the most common adverse pregnancy outcome which has detrimental psychological consequences for the woman and her partner and delays successful childbearing. Normal embryonic heart rate is about [100-200] bpm at 5 weeks gestation then it increases progressively over the subsequent 2-3 weeks. Fetal demise often occurs within one week after the slow embryonic heart rate and always occurs by the end of the first trimester. Aim of the work: The aim of the present study was to investigate the relation between first trimester miscarriage and slow embryonic heart rate at sixth week of gestational age and other risk factors of miscarriage. Patients and methods: A prospective observational cohort study was conducted in the department of Obstetrics and Gynecology, Al-Azhar Faculty of medicine [Damietta] during the period from September 2017 to September 2018 on 90 pregnant women who had slow embryonic heart rate [80-100] bpm at sixth week of gestational age. All were submitted to full history taking, clinical and ultrasound examination and followed up till the end of their pregnancy and outcome was documented. Results: Percentage of aborted cases at the 8th week of gestational age was [38.9%], while, [20%] at the 10th week and [15.4 %] at 13th week. Whom fetus had a heart rate less than 90 were at risk 23.8 times for experiencing abortions more than other females. Conclusion: Slow embryonic heart rate is one of the earliest predictors for the first trimester fetal demise and it is one of the newest studiesHend HassanMohammed NasrWalaa El-BassiouneAl-Azhar University, Faculty of Medicine (Damietta)articleembryonicheart ratemiscarriagegestational agepregnancyMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 1, Pp 173-178 (2020)
institution DOAJ
collection DOAJ
language EN
topic embryonic
heart rate
miscarriage
gestational age
pregnancy
Medicine (General)
R5-920
spellingShingle embryonic
heart rate
miscarriage
gestational age
pregnancy
Medicine (General)
R5-920
Hend Hassan
Mohammed Nasr
Walaa El-Bassioune
Outcome of First Trimester Pregnancy in Cases with Impending Embryonic Demise
description Background: Miscarriage is the most common adverse pregnancy outcome which has detrimental psychological consequences for the woman and her partner and delays successful childbearing. Normal embryonic heart rate is about [100-200] bpm at 5 weeks gestation then it increases progressively over the subsequent 2-3 weeks. Fetal demise often occurs within one week after the slow embryonic heart rate and always occurs by the end of the first trimester. Aim of the work: The aim of the present study was to investigate the relation between first trimester miscarriage and slow embryonic heart rate at sixth week of gestational age and other risk factors of miscarriage. Patients and methods: A prospective observational cohort study was conducted in the department of Obstetrics and Gynecology, Al-Azhar Faculty of medicine [Damietta] during the period from September 2017 to September 2018 on 90 pregnant women who had slow embryonic heart rate [80-100] bpm at sixth week of gestational age. All were submitted to full history taking, clinical and ultrasound examination and followed up till the end of their pregnancy and outcome was documented. Results: Percentage of aborted cases at the 8th week of gestational age was [38.9%], while, [20%] at the 10th week and [15.4 %] at 13th week. Whom fetus had a heart rate less than 90 were at risk 23.8 times for experiencing abortions more than other females. Conclusion: Slow embryonic heart rate is one of the earliest predictors for the first trimester fetal demise and it is one of the newest studies
format article
author Hend Hassan
Mohammed Nasr
Walaa El-Bassioune
author_facet Hend Hassan
Mohammed Nasr
Walaa El-Bassioune
author_sort Hend Hassan
title Outcome of First Trimester Pregnancy in Cases with Impending Embryonic Demise
title_short Outcome of First Trimester Pregnancy in Cases with Impending Embryonic Demise
title_full Outcome of First Trimester Pregnancy in Cases with Impending Embryonic Demise
title_fullStr Outcome of First Trimester Pregnancy in Cases with Impending Embryonic Demise
title_full_unstemmed Outcome of First Trimester Pregnancy in Cases with Impending Embryonic Demise
title_sort outcome of first trimester pregnancy in cases with impending embryonic demise
publisher Al-Azhar University, Faculty of Medicine (Damietta)
publishDate 2020
url https://doaj.org/article/d35c5e086ed94b0b82ec62c996b2702c
work_keys_str_mv AT hendhassan outcomeoffirsttrimesterpregnancyincaseswithimpendingembryonicdemise
AT mohammednasr outcomeoffirsttrimesterpregnancyincaseswithimpendingembryonicdemise
AT walaaelbassioune outcomeoffirsttrimesterpregnancyincaseswithimpendingembryonicdemise
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