Fetal loss in symptomatic first-trimester pregnancy with documented yolk sac intrauterine pregnancy

Hessert, Mary Josephine; Juliano, M.

doi:10.1016/j.ajem.2010.12.021

Cited by 7 publications

(3 citation statements)

References 13 publications

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“…There are several published analyses which examine the relationship between first trimester ultrasonographic volume parameters and pregnancy outcome [5,6,15]. Earlier studies showed that YS size began to decrease and disappeared towards to the end of first trimester, besides seeing the YS before monitoring fetal pole indicated no valuable prediction on pregnancy outcomes [16,17]. YS diameter is two to five mm in the 7 th and 10 th weeks in two-dimensional US and the average value is 2.0 ± 2.0 mm [18].…”

Section: Discussionmentioning

confidence: 99%

The early pregnancy volume measurements in predicting pregnancy outcome

Batmaz¹,

Aksoy²,

Aydın³

et al. 2016

Clin. Exp. Obstet. Gynecol.

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2013 and January 2014. Two hundred twenty-five (225) subjects, who consulted at the hospital with a pregnancy doubt, wanted to keep the fetus alive, did not have repetitive abortions, had a healthy singleton pregnancy, between 6 +6 and 10 +6 weeks, were included in this study. The mothers who had diabetes mellitus, hypothyroidism, hypertension and autoimmune diseases, multiple pregnancy, and over 40 years of age were excluded from the study. A detailed medical history of all pregnant women included in the study were taken. As maternal age demographic data, previous pregnancy history (gravidity, parity, abortion, curettage), date of last menstrual period (LMP), smoking, and vaginal bleeding data from the current pregnancy was recorded.The patients were studied once with transabdominal sonography using an endocavitary 5-to 9-MHz transducer by a single sonographer (G.B.) experienced in performing these examinations. The presence of intrauterine pregnancy and YS, fetal pole

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Section: Discussionmentioning

confidence: 99%

The early pregnancy volume measurements in predicting pregnancy outcome

Batmaz¹,

Aksoy²,

Aydın³

et al. 2016

Clin. Exp. Obstet. Gynecol.

View full text Add to dashboard Cite

show abstract

“…In the first trimester, over a quarter of all pregnant female experience bleeding. Vaginal haemorrhage and mild-to-moderate supra-pubic or mid-line lower abdominal pain that may spread to the lower back are common symptoms [2][3][4] . The clinician should inquire about prior pregnancy confirmation, the last known menstrual period, when the bleeding started, the amount and nature of the bleeding, and current medications (ovulation agents put a woman at risk for a heterotopic pregnancy, which is an IUP and an EP simultaneously) [5][6][7] .…”

Section: Introductionmentioning

confidence: 99%

An Assessment Into the Diagnostic Value of Ultrasound in the First Trimester of Pregnancy Bleeding

T¹

2021

IJMBS

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Background: One of the most prevalent obstetric issues is vaginal bleeding in the first trimester. It's also one of the most prevalent reasons for emergency admissions, as well as a reason for ultra-sound evaluation in the first trimester. In the first trimester, over a quarter of all pregnant female experience bleeding. Aims and objective: The purpose of this research was to determine the diagnostic value of ultra-sonography in first-trimester haemorrhage. Materials and method: All pregnant female who experienced per vaginal bleeding during the first trimester were included in this research. A semi-structured questionnaire was used to assess all of the selected instances. To arrive at a clinical opinion, a full history and comprehensive clinical evaluation were undertaken, including general, systemic, per abdominal, and per vaginal evaluations. In all of the cases that were chosen, ultra-sonography was used. The results of the clinical evaluation and ultra-sonography were documented. Results: On clinical evaluation, 164 cases of threatened abortion were identified, whereas ultra-sonography verified 102 cases of impending abortion. In 62 cases, there was a discrepancy in opinion. Complete abortion had a 16 percent inconsistancy, while incomplete abortion had a 4 percent inconsistancy. In 20 cases of Blighted ovum, there was a inconsistancy. Out of 214 occurrences of first trimester bleeding, abortion was diagnosed in 200 cases (93.46 percent), ectopic pregnancy in 10 cases (4.67 percent), and hydatiform mole in four cases (1.87 percent). Clinical opinion had a 100% sensitivity in diagnosing a viable intrauterine pregnancy, but only a 44.6 percent specificity. Clinical opinion has a poor statistical correlation in diagnosing nonviable pregnancies, with a sensitivity of 39%. Conclusion: Ultra-sonography has thus been established as a critical diagnostic tool in obstetrics. It is a readily available diagnostic tool that aids in the early detection of problems associated with first-trimester haemorrhage. It was established in the aforementioned research that it had an essential role in the opinion of first trimester haemorrhage. Key Word: first trimester bleeding, ultasonography, diagnostic importance

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“…3 The clinician should ask about prior confirmation of pregnancy, last known menstrual period, when the bleeding began, quantity and character of bleeding, and current medications (ovulation agents put a woman at risk for a heterotopic pregnancy, which is an IUP and an EP simultaneously). 4 The diagnostic workup of a women presenting with early pregnancy bleeding includes a complete blood count, WBC count with differential to rule out infection, urinalysis to rule out urinary tract infection, gonorrhea/chlamydia swab, Rh-type, qualitative β-hCG, transvaginal ultrasound, quantitative β-hCG, and serum progesterone levels. 5,6,7 Currently, the TVUS and the quantitative β-hCG are considered first-line for diagnosis in early pregnancy bleeding.…”

Section: Introductionmentioning

confidence: 99%

Untitled

2019

MIJOBG

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Background: Bleeding per vaginum in the first trimester is one of the most common obstetric problem. It is also one of the commonest causes for the majority of the emergency admissions and also common reason for ultrasound examination in the first trimester. Nearly 25% of all pregnant women in their first trimester complain of bleeding. Amis and objective: To study the diagnostic importance of ultrasound in first trimester bleeding. Materials and method: In the present study all pregnant women presenting with per vaginal bleeding during the first trimester were enrolled. All the selected cases were evaluated by using semi-structured questionnaire. A detailed history and comprehensive clinical examination including general, systemic, per abdomen and per vaginal examination were performed to arrive at a clinical diagnosis. Ultrasonoghraphy was performed in all the selected cases. Findings of clinical examination and ultrasonoghraphy findings were recorded. Results: On clinical examination threatened abortion was diagnosed in 82 cases whereas on ultrasonography 51 cases were confirmed to be of Threatened abortion. And disparity in diagnosis was observed in 31 cases. Disparity in case of complete abortion was 8 whereas in case of incomplete abortion was 2. In case of Blighted ovum disparity was observed in 10 cases. Out of total 107 cases of first trimester bleeding abortion was diagnosed in 100(93.46%) of cases, ectopic pregnancy was diagnosed in 5(4.67%) cases and hydatiform mole was diagnosed in 2(1.87%) cases. The sensitivity of clinical diagnosis in diagnosing viable intrauterine pregnancy was 100% but the specificity was 44.64%. Of the ectopic pregnancies diagnosed clinically, all were confirmed with sensitivity and specificity of100% and diagnostic accuracy of 100%. In diagnosing nonviable pregnancies, clinical diagnosis has got very poor statistical correlation with a sensitivity of 39.22%. Conclusion: Thus Ultrasonography has been proved as an important diagnostic modality in obstetrics. It is an easy available, diagnostic modality and it helps in the earlier diagnosis of complications of first trimester bleeding. In the above study it was demonstrated that it played an important part in diagnosis of first trimester bleeding.

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Fetal loss in symptomatic first-trimester pregnancy with documented yolk sac intrauterine pregnancy

Cited by 7 publications

References 13 publications

The early pregnancy volume measurements in predicting pregnancy outcome

The early pregnancy volume measurements in predicting pregnancy outcome

An Assessment Into the Diagnostic Value of Ultrasound in the First Trimester of Pregnancy Bleeding

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