scholarly journals Role of transvaginal sonography in the diagnosis of early pregnancy failure

2021 ◽  
Vol 10 (2) ◽  
pp. 662
Author(s):  
Rosy Khanam ◽  
Pranoy Nath
Keyword(s):  
Early Pregnancy ◽  
Yolk Sac ◽  
Transvaginal Sonography ◽  
Abdominal Sonography ◽  
Crown Rump Length ◽  
Pregnancy Failure ◽  
Abnormal Pregnancy ◽  
Medical College ◽  
Early Pregnancy Failure ◽  
Gestational Sac

Background: The most crucial period of intra uterine life are the first twelve weeks of gestation, where history and clinical examination may often be inconclusive. Ultrasonography plays an important role in confirming the pregnancy, its site and viability. The objective of this study was to determine the first trimester ultrasonographic findings of a normal intrauterine pregnancy, early pregnancy failure and to have a comparative evaluation of transvaginal with transabdominal ultrasonography in the diagnosis of early pregnancy failure.Methods: Cross sectional study done in the Department of Obstetrics and Gynaecology, Silchar Medical College and Hospital from 1st June 2019 to 31st May 2020. Data were collected from 80 patients presenting to the Antenatal and Gynaecology OPD of Silchar Medical College, with positive urine beta HCG test with signs and symptoms suggestive of early pregnancy. The study was conducted during the said study period. General physical and pelvic examination done for in the cases provisional clinical diagnosis and subjected to ultrasound. Sonography by both abdominal and transvaginal method was done and findings were compared.Results: 70% of cases in this study came out to be of normal pregnancy while 30% of the total cases were of abnormal pregnancy. Various fetal developmental markers such as gestational sac, yolk sac, fetal pole, fetal heart motion, double decidual sac sign were visualised in better number of cases by transvaginal sonography than by abdominal. Amongst cases of abnormal pregnancy, parameters such as detection of abnormality in shape of gestational sac, abnormality in yolk sac were found to be better seen with transvaginal sonography than with transabdominal sonography. Measurements of mean sac diameter, crown rump length were found to be similar by both the methods.Conclusions: Combination of abdominal sonography and transvaginal sonography complements the defects of two methods and thus improves the accuracy of diagnosis. Thus it can be said that transvaginal sonography should not be used as a substitute but as a conjunct with abdominal sonography for better visualization, improved diagnosis thereby leading to better management of the patients.

The yolk sac in early pregnancy failure

1988 ◽  
Vol 158 (1) ◽  
pp. 137-142 ◽  
Author(s):  
Enrico Ferrazzi ◽  
Bruno Brambati ◽  
Alessandro Lanzani ◽  
Angelo Oldrini ◽  
Luana Stripparo ◽  
...  
Keyword(s):  
Early Pregnancy ◽  
Yolk Sac ◽  
Pregnancy Failure ◽  
Early Pregnancy Failure

scholarly journals Safety & efficacy of manual vacuum aspiration compared to dilatation & curettage in the management of early pregnancy failure

2017 ◽  
Vol 49 (1-2) ◽  
pp. 18-22 ◽  
Author(s):  
Rabiul Islam ◽  
Sankar Prosad Biswas ◽  
Dolly Halder ◽  
Kaniz Fatima
Keyword(s):  
Hospital Stay ◽  
Early Pregnancy ◽  
Gestational Age ◽  
High Tech ◽  
Major Health Problem ◽  
Pregnancy Failure ◽  
Medical College ◽  
Vacuum Aspiration ◽  
Early Pregnancy Failure ◽  
Manual Vacuum Aspiration

Background: Early pregnancy failure is a major health problem across the globe. This is particularly important for the woman of Bangladesh.Objective: The aim of our study was to evaluate the safety and efficacy of manual vacuum aspiration (MVA) compared to dilatation and curettage (D&C) in the management of first trimester abortion.Methods: This was a prospective randomised study done in Obstetrics & Gynaecology department of Jessore medical college & Khulna medical college. Over a period of one year from January 2014 to December 2014, a total of four hundred women presented with spontaneous miscarriage with gestational age < 12 weeks patients with no sign of septic abortion and no history of pregancy with fibroid uterus were included in the study.Results: These patients underwent random selection either MVA group (n = 200) or D&C group (n=200). Cases were compared with respect to age, parity, gestational age, risk, blood loss, time taken & complications. The distribution of age, parity & gestational age was similar in both groups. The mean duration of procedure was significantly higher (P<.0001) in D&C group compared to MVA group. The duration of hospital stay was significantly lower (P<.0001) in MVA group compared to D&C group. Similarly the cost of the procedure was significantly lower (P<.0001) in MVA group compared to D&C group.Conclusion: MVA is safe, effective, cheaper, less time consuming and requires shorter hospital stay. It does not require general anaesthesia and complication is also less than dilation and curettage. So it can be easily accessible to the woman of both rural and urban societies belonging to any socioeconomic strata specially where high tech equipments and power supply are not available.Bang Med J (Khulna) 2016; 49 : 18-22

scholarly journals Early sonographic markers and prediction of pregnancy outcome: a prospective study

2017 ◽  
Vol 6 (6) ◽  
pp. 2471
Author(s):  
Jaishree Bamniya ◽  
Divyesh Panchal ◽  
Pooja Singh ◽  
Ami Shah ◽  
Harshad Ladola
Keyword(s):  
Prospective Study ◽  
Pregnancy Outcome ◽  
Early Pregnancy ◽  
Pregnancy Loss ◽  
Yolk Sac ◽  
Transvaginal Sonography ◽  
Control Group ◽  
Patient Counseling ◽  
Medical College ◽  
A Prospective Study

 Background: The objective of the study was to examines the pregnancy outcome in patients with early sonography markers and study design was a prospective study.Methods: This prospective study was conducted at Department of Obstetrics and Gynaecology, GCS Medical College, Ahmedabad, Gujarat, India from Feb 2012 to August 2016. Total of 612 Women with early pregnancy were included in the study that fulfilled the inclusion criterias. After first sonography examination patients were assigned to the control group and study group. Patients were followed up for outcome.14 pateients were lost to follow up.Results: The incidence of pregnancy loss was highest with Large yolk sac i.e 78.57%, followed by loss with Bradycardia (38%), Tachycardia (15.78%) and Smaller than normal G Sac to be 14.28%. As compared to control which had pregnancy loss of only 7.7%. Incidence of other complications like IUGR, PIH were also increased in patients with abnormal early sonography markers up to 33%.Conclusions: T Transvaginal sonography should be used adequately to look for early pregnancy markers like Size of Gestational sac, size and shape of yolk sac, fetal heart rate and in cases of threatened abortion presence of subchorionic haematoma and its size because all these markers are good predictors of pragnacy outcome and can prove helpful in patient counseling.

Gestational sac aspiration: A novel alternative to Dilation and Evacuation for management of early pregnancy failure

2006 ◽  
Vol 13 (4) ◽  
pp. 296-301 ◽  
Author(s):  
Mohamed F. Mitwally ◽  
Hafsa Albuarki ◽  
Michael P. Diamond ◽  
Mostafa Abuzeid ◽  
Michael M. Fakih
Keyword(s):  
Early Pregnancy ◽  
Pregnancy Failure ◽  
Early Pregnancy Failure ◽  
Gestational Sac

scholarly journals Role of First Trimester Ultrasonographic Parameters for Prediction of Early Pregnancy Failure - A Prospective Observational Study from Punjab, India

2021 ◽  
Vol 8 (9) ◽  
pp. 476-480
Author(s):  
Amandeep Singh ◽  
Avepreet Singh ◽  
Kamlesh Gupta ◽  
Gauravdeep Singh
Keyword(s):  
Observational Study ◽  
Early Pregnancy ◽  
Prospective Observational Study ◽  
Tertiary Care ◽  
Cardiac Activity ◽  
First Trimester ◽  
Care Hospital ◽  
Pregnancy Failure ◽  
Early Pregnancy Failure ◽  
Gestational Sac

BACKGROUND Early pregnancy failure is stated as noncompatible, intrauterine pregnancy with either an empty gestational sac or a gestational sac that contains an embryo or fetus which does not have any fetal cardiac activity in the initial 12 weeks of the pregnancy. In the assessment of early pregnancy, ultrasound plays a significant role. METHODS A prospective observational study was conducted in a tertiary care hospital between May 2019 and April 2020 among 500 pregnant females fulfilling the inclusion and exclusion criteria. Patient follow up was done by weekly telephonic calls until completing 12 weeks gestation or reporting miscarriage. Also, all patients were followed by the recommended routine ultrasound (US) scanning with or without emergency visits. RESULTS In our study period, 500 women fulfilling the inclusion criteria were included in our study. Out of whom, 85 (17.5 %) women had an early pregnancy failure (before 12 weeks). There was significantly lower mean gestational sac diameter (GSD), crown to rump length (CRL), fetal heart rate (FHR), and P-value < 0.001 in women who experienced early pregnancy failure. In pregnancies where the GSD, CRL, and FHR were below the 5th percentile, early pregnancy failure was a more prone outcome. All pregnancies with FHR below 75 beats per minute ended in failure in the present study. When FHR was less than 128 beats per minute, there was enormous rise in the frequency of pregnancy failure. By comparison, yolk sac diameter (YSD) was a less significant predictor of early pregnancy failure. CONCLUSIONS First-trimester ultrasonographic estimations help in predicting early abortion. Risk appraisal tables dependent on combinations of abnormal parameters could significantly help in identifying abnormal pregnancy from normal pregnancy and could improve prediction rates. KEYWORDS Early Pregnancy Failure, Prediction, Transvaginal Ultrasonography, Ultrasonography

scholarly journals Comparison of different regimes of misoprostol for the termination of early pregnancy failure

2014 ◽  
Vol 70 (4) ◽  
pp. 360-363 ◽  
Author(s):  
Nandaram Seervi ◽  
Nupur Hooja ◽  
Lata Rajoria ◽  
Asha Verma ◽  
Kusum Malviya ◽  
...  
Keyword(s):  
Early Pregnancy ◽  
Pregnancy Failure ◽  
Early Pregnancy Failure

Misoprostol treatment for early pregnancy failure does not impair future fertility

2014 ◽  
Vol 30 (4) ◽  
pp. 316-319 ◽  
Author(s):  
Ilia Bord ◽  
Michael Gdalevich ◽  
Ravit Nahum ◽  
Simion Meltcer ◽  
Eyal Y. Anteby ◽  
...  
Keyword(s):  
Early Pregnancy ◽  
Pregnancy Failure ◽  
Future Fertility ◽  
Early Pregnancy Failure
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