Role of Imaging in Early Pregnancy and Maternal Outcome
Keywords:
Imaging ,First Trimester,Pregnancy OutcomeAbstract
Introduction: The first trimester is crucial in pregnancy, often complicated by early vaginal bleeding, which can indicate threatened, incomplete, complete, or septic abortion. Occurring in 20% of pregnancies, 50% result in miscarriage, while the rest continue normally. This study evaluates early pregnancy bleeding using ultrasound and its correlation with maternal complications. AIMS AND OBJECTIVES:1)To know the cause of early pregnancy bleeding using ultrasound as a tool. 2) To study their maternal outcome.
Methodology: This two-year observational study at a tertiary care center (June 2021-May 2023) included 100 women with a positive pregnancy test and first-trimester vaginal bleeding, from spotting to heavy bleeding. Women consenting were included, while those in the second or third trimester or who refused consent were excluded.
Results: In a study of 100 women, 57% were aged 21-25, with only 2% over 35 and 8% under 20. Consanguineous marriage occurred in 18%. Heavy bleeding affected 57%, and spotting 43%. Anemia (22%) and thyroid disorders (16%) were common complications. Abortions caused 69% of bleeding, ectopic pregnancies 28%, and molar pregnancies 3%. Ultrasound showed incomplete abortion in 52%, missed abortion in 32%, and other types in 16%. Treatments included dilatation and evacuation (41%), evacuation/Misoprostol (49%), and laparotomy for ectopic pregnancies (71%). All hydatidiform mole cases were treated with suction and evacuation.
Conclusion: The majority of early pregnancy bleeding is due to abortion, followed by ectopic pregnancy. Ultrasound, a non-invasive and accurate tool, aids in diagnosis and guides appropriate management, reducing morbidity.
How to cite this article:
Vijayasree M. Role of Imaging in Early Pregnancy and Maternaloutcome. Int J Adv Res Gynaecol Obstet 2024;2(1):5-10.
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