Ultrasonography and Pregnancy Outcome in Threatened Abortion: A Prospective Observational Study
Authors/Creators
- 1. Assistant Professor, Department of Obstetrics and Gynecology, Darbhanga Medical College & Hospital, Patna, Bihar, India
- 2. Professor, Department of Obstetrics and Gynecology, Darbhanga Medical College & Hospital, Patna, Bihar, India
Description
Background: Threatened abortion is a common complication in early pregnancy, often leading to significant anxiety and uncertainty regarding pregnancy outcomes. Ultrasonography is a crucial diagnostic tool in assessing fetal viability and guiding clinical management in these cases. Aim: This study aims to evaluate the role of ultrasonography in predicting pregnancy outcomes in cases of threatened abortion. Methods: A total of 100 pregnant women presenting with symptoms of threatened abortion were included in the study. Each participant underwent detailed ultrasonographic examination to assess fetal viability, presence of subchorionic hematoma, gestational age, and other relevant parameters. Follow-up ultrasonography and clinical assessments were performed to monitor the pregnancy outcomes. Results: The study found that ultrasonographic findings significantly correlated with pregnancy outcomes. Among the 100 patients, 70% had favorable outcomes with ongoing pregnancies, while 30% resulted in spontaneous abortion. The presence of fetal cardiac activity and the absence of subchorionic hematoma were strongly associated with favorable pregnancy outcomes. In contrast, the absence of fetal cardiac activity and the presence of significant subchorionic hematoma were predictive of poor outcomes. Conclusion: Ultrasonography is a valuable tool in the evaluation and management of threatened abortion. It provides critical information that can help predict pregnancy outcomes and guide clinical decision-making. Recommendations: Regular ultrasonographic monitoring should be considered for all patients presenting with threatened abortion to identify those at higher risk for adverse outcomes. Further studies with larger sample sizes and extended follow-up periods are recommended to validate these findings and improve the prognostic accuracy of ultrasonographic parameters.
Abstract (English)
Background: Threatened abortion is a common complication in early pregnancy, often leading to significant anxiety and uncertainty regarding pregnancy outcomes. Ultrasonography is a crucial diagnostic tool in assessing fetal viability and guiding clinical management in these cases. Aim: This study aims to evaluate the role of ultrasonography in predicting pregnancy outcomes in cases of threatened abortion. Methods: A total of 100 pregnant women presenting with symptoms of threatened abortion were included in the study. Each participant underwent detailed ultrasonographic examination to assess fetal viability, presence of subchorionic hematoma, gestational age, and other relevant parameters. Follow-up ultrasonography and clinical assessments were performed to monitor the pregnancy outcomes. Results: The study found that ultrasonographic findings significantly correlated with pregnancy outcomes. Among the 100 patients, 70% had favorable outcomes with ongoing pregnancies, while 30% resulted in spontaneous abortion. The presence of fetal cardiac activity and the absence of subchorionic hematoma were strongly associated with favorable pregnancy outcomes. In contrast, the absence of fetal cardiac activity and the presence of significant subchorionic hematoma were predictive of poor outcomes. Conclusion: Ultrasonography is a valuable tool in the evaluation and management of threatened abortion. It provides critical information that can help predict pregnancy outcomes and guide clinical decision-making. Recommendations: Regular ultrasonographic monitoring should be considered for all patients presenting with threatened abortion to identify those at higher risk for adverse outcomes. Further studies with larger sample sizes and extended follow-up periods are recommended to validate these findings and improve the prognostic accuracy of ultrasonographic parameters.
Files
IJPCR,Vol16,Issue5,Article359.pdf
Files
(287.8 kB)
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Additional details
Dates
- Accepted
-
2024-04-25
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue5,Article359.pdf
- Development Status
- Active
References
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