Miscarriage and early first trimester growth restriction by ultrasound

Agarwal, Neelima; Sharma, Amita

doi:10.18203/2320-1770.ijrcog20161324

Cited by 5 publications

(4 citation statements)

References 9 publications

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“…More than continuous pregnancy, the fetal heart rate in the group experiencing fetal loss showed a statistically significant drop in the current study. The current study is consistent with several earlier studies that discovered that most individuals with EHRs less than 100 BPM had poor outcomes [22][23][24] .…”

Section: Discussionsupporting

confidence: 93%

Ultrasonographic Evaluation of Gestational Sac, Yolk Sac, Embryonic Heart Rate and Crown Rump Length as Prognostic Factors for First Trimester Pregnancy Outcomes

2024

The Egyptian Journal of Hospital Medicine

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Background: According to estimates, between 30% and 40% of implanted pregnancies end in spontaneous abortion in the first trimester, with the majority happening fairly early on. Objectives: To evaluate gestational sac (GS) diameter and shape, yolk sac (YS) diameter and shape, embryonic heart rate (EHR) and crown rump length (CRL) during the first trimester as prognostic factors of first trimester pregnancy outcome. Patients and Methods: This prospective observational cohort study was carried out on 118 patients in Shebin Elkom Teaching Hospital and Menoufia University Hospital in uncomplicated singleton pregnancy from (20-35) years old women. Results: 109 cases (92.4%) resulted in an ongoing pregnancy and entered the 2 nd trimester successfully, while 9 cases (7.6%) resulted in miscarriage. There was a highly statistically significant decrease in GS diameter, CRL, fetal heart rate but increase in YS diameter in fetal loss group more than ongoing pregnancy at 6, 9 and 12 weeks. Conclusion:The best indicator of the prognosis for first trimester pregnancy outcomes was YS diameter measurement. Fetal heart rate, GS diameter, and CRL diameter were the next best predictors, and an increase in YS diameter beyond what is expected for any gestational age (GA) and a decrease in any of these factors are indicators of poor pregnancy outcomes during the first 12 weeks of pregnancy.

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Section: Discussionsupporting

confidence: 93%

Ultrasonographic Evaluation of Gestational Sac, Yolk Sac, Embryonic Heart Rate and Crown Rump Length as Prognostic Factors for First Trimester Pregnancy Outcomes

2024

The Egyptian Journal of Hospital Medicine

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“…(9) . Balsane et al (10), Agarwal et al (11), and Abu Elghar et al (12) are only a few of the studies that agree with the findings of the current study. Abdulkadhim et al showed that individuals whose embryonic heart rates were below 100 beats per minute had a poor prognosis.…”

Section: Discussionsupporting

confidence: 88%

The Yolk Sac Abnormalities, Maternal Serum Level of Cancer Antigen 125 (CA-125) and Beta Human Chorionic Gonadotropin (B-HCG) as an Early Predictors of First Trimester Pregnancy Loss in Patients with Threatened Miscarriage

Eman Adel Bastawi,

Mohamed M. Shaaban,

Eman Ahmed Keshk

et al. 2023

J. Adv. Zool.

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Background: Pregnancy loss before 20 weeks is considered a miscarriage, as is the loss of a fetus weighing less than 500 grams before viability. A medical emergency, threatened miscarriage affects 15–25% of pregnancies. Aim and objectives: The goal of this study was to assess the predictive value of maternal blood levels of Cancer Antigen 125 (CA-125) and beta-human chorionic gonadotropin (B- HCG) in individuals at risk of miscarriage during the first trimester. Subjects and methods: This study was a prospective cohort study. This study included 120 pregnant women with threatened abortion between (6-11 weeks) and followed up till end of 14th week. Results: 36(30%) of pregnant women aborted, while 84(70%) of women continued till 14th weeks of pregnancy. At a cut-off value of 45 U/ml, the CA125 test was shown to have a sensitivity of 88.9% and a specificity of 77.5%, respectively, while also having a positive predictive value of 79.8% and a negative predictive value of 87.5%. At a cut-off value of 18.501 mlIU/ml, the B-HCG test's sensitivity and specificity were determined to be 96.3 and 88.9, respectively, with a positive predictive value of 89.7% and a negative predictive value of 96%. Conclusion: Even before fetal morphology can be investigated sonographically, abnormalities in the size of the yolk sac can be utilized as a good prognostic sign of early pregnancy loss. Pregnancy viability can be estimated from first trimester serum CA 125 and Beta HCG measurements.

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“…[11] Also Jauniaux et al 2005 proved that in pregnancies with a live fetus at 6-10-weeks' gestation the rate of subsequent fetal loss is associated to maternal age, and the ultrasound findings of small GSD and fetal bradycardia (FHR bradycardia), relative to CRL. [12] Also, the current research is in accordance with many other researches as Balsane et al, [13] 2017, Agarwal et al, [14] 2017 and Abu Elghar et al, [15] 2013, S Abdulkadhim et al, [16] 2017found that with majority of patients with embryonic heart rate <100 BPM ended up with poor outcome. Regarding the FHR, Most of the patients who had poor first trimester outcome had EHR below 100 BPM.…”

Section: Discussionsupporting

confidence: 87%

The Value of Early Pregnancy Ultrasound Parameters in Prediction of First-Trimester Outcome

Aseel Najeeb Abed,

Yossra Saleh Khudhur

2021

MLU

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Background: In early pregnancy, it is essential to emphasize viability, and gestational age precisely. Researchers have tried to discover some useful sonographic indicators in early pregnancy so as to expect the outcome of the ongoing pregnancy. The aim of this study is to assess first-trimester ultrasound measurements for the prediction of early pregnancy loss. Subjects and Method: A prospective observational cohort study done in Tikrit city in outpatient clinic of obstetrics and gynecology department in Salah Al-Deen General Hospital from 1 st February-31 st August 2020. A random sample of 78 pregnant women selected, 8 were lost to follow up. The data collection done through a designed questionnaire, physical examination and transvaginal sonography assessment. Sonography assessment of the crown rump length (CRL), yolk sac (YS) and gestational sac (GS) diameters, & fetal heart rate (FHR) are recording. Results: Seventy pregnant women examined by using transvaginal ultrasonography at 6 th ,9 th and 12 th week of gestation. The readings at 6th week of gestation for the (GSD, YSD, CRL, and FHR) were (14.5±1.3), (3.2±1.8), (3.1±0.8), & (105±10.6) respectively, lower among those with first trimester loss than those continue pregnancy (26.1±5.2), (3.9±0.3), (5.1±0.5), and (119±3). The readings at 12th week of gestation for the (GSD, YSD, CRL, and FHR) were as follows; [(25.1±3.5), (3.6±0.3), (13± 2.1). & (165± 1)] were lower among with first trimester loss group than those continue pregnancy [(59.2±4.1), (4.5±0.7), (50.7±5.7) & (171±5)]. Conclusions: The current study found that lower GSD, YSD, CRL, and FHR may indicate early pregnancy loss.

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Miscarriage and early first trimester growth restriction by ultrasound

Cited by 5 publications

References 9 publications

Ultrasonographic Evaluation of Gestational Sac, Yolk Sac, Embryonic Heart Rate and Crown Rump Length as Prognostic Factors for First Trimester Pregnancy Outcomes

Ultrasonographic Evaluation of Gestational Sac, Yolk Sac, Embryonic Heart Rate and Crown Rump Length as Prognostic Factors for First Trimester Pregnancy Outcomes

The Yolk Sac Abnormalities, Maternal Serum Level of Cancer Antigen 125 (CA-125) and Beta Human Chorionic Gonadotropin (B-HCG) as an Early Predictors of First Trimester Pregnancy Loss in Patients with Threatened Miscarriage

The Value of Early Pregnancy Ultrasound Parameters in Prediction of First-Trimester Outcome

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