Ultrasound in predilection of threatened abortion in early pregnancy: A clinical study
Background: Threatened miscarriage constitutes 15–20% of pregnancies and is one of the commonest gynecological emergencies. This study was conducted to assess utility of ultrasound in detection of threatened abortion. Materials & Methods: This study was conducted in department of Obstetrics and Gynaecology in year 2015. It included 80 pregnant women with history of threatened abortion. All women were subjected to color Doppler ultrasonography with 2- 5 MHz transducer. Fetal heart rate (FHR), irregular wall of gestational sac, perigestational hemorrhage was assessed. Results: Group I had 80 patients with threatened abortion, Group II had 22 patients with abortion and group II had 58 patients without abortion. The difference was significant (P – 0.02). Mean maternal age in group I was 25.2±1.2 years and in group II was 24.8±1.4 years. Number of pregnancies was 2.7 in group I and 2.5 in group II. Number of patients with previous abortion was 4 in group I and 48 in group II. Vaginal bleeding was observed in 21 patients in group I and 86 patients in group II. Pelvic pain was seen in 16 patients in group I and 74 patients in group II. Closed cervix was observed in 19 patients in group I and 96 in group II. The difference was non – significant (P > 0.05). Group I had mean fetal heart 79.2 beats/min whereas group II had 125.2 beats/ min. The difference was significant (P < 0.05). Conclusion: Ultrasonography is useful in detection of pregnancy complication. The use of color Doppler is beneficial in assessing abnormalities. Ultrasound examination has become the “golden standard” in follow-up of the development and complications of early pregnancy. Ultrasonographic findings such as irregular wall of gestational sac, low fetal heart rate (embryonic bradycardia), perigestational hemorrhage etc. are suggestive of threatened abortion. It has helped in managing the patients.