A Study to Evaluate the Yolk Size as Prognostic Factor of first Trimester Pregnancy Outcome: Prospective Observational Study
Authors/Creators
- 1. Junior Resident, Department of Obstetrics and Gynecology, Lady Harding Medical College and Hospital, New Delhi, India
- 2. Director Professor, Department of Obstetrics and Gynecology, Lady Harding Medical College and Hospital, New Delhi, India
- 3. Professor, Department of Obstetrics and Gynecology, Lady Harding Medical College and Hospital, New Delhi, India
- 4. Professor and HOD, Department of Obstetrics and Gynecology, Lady Harding Medical College and Hospital, New Delhi, India
Description
Aim: to evaluate the yolk size as prognostic factor of first trimester pregnancy outcome. Materials and Method: This prospective observational study was performed in the department of Obstetrics and Gynecology, Lady Hardinge Medical College, New Delhi. This study was conducted in 230 pregnant women who had satisfied inclusion and exclusion criteria. Detailed history like chief complaints, past history, present history, and family history was taken. After that detailed examination- general physical examination, systemic examination, per speculum, and per vaginal examination was done. Gestational age was calculated by last menstrual period. Each participant was subjected to transvaginal ultrasonography. Philips HD 11xE model ultrasound machine was used which had transvaginal probe of frequency 6-9MHz. All scans were performed by a single sonographer. On sonography gestational sac diameter, mean yolk sac diameter, yolk sac size and shape, crown ramp length was measured. Results: Total subjects participated in the study were 230, minimum and maximum ages were 19 years and 38 years respectively. Mean age was 27.68+4.38-year, maximum number of woman 128/230 (55.7%) were in the age group of 23-30 year. Out of 230 women small yolk sac (<3.5mm) was observed in 17(7.39%) women. Out of these 17 women with small yolk sac size, 13(76.47%) women had abortion and remaining 4 (23.52%) women had continued the pregnancy. Conclusion: Suggested that pregnant women with large yolk sac had normal fetal outcome while patients with small yolk sac had more incidence of missed or spontaneous abortion. So, it showed that small and irregular shape yolk sac has poorer prognosis.
Abstract (English)
Aim: to evaluate the yolk size as prognostic factor of first trimester pregnancy outcome. Materials and Method: This prospective observational study was performed in the department of Obstetrics and Gynecology, Lady Hardinge Medical College, New Delhi. This study was conducted in 230 pregnant women who had satisfied inclusion and exclusion criteria. Detailed history like chief complaints, past history, present history, and family history was taken. After that detailed examination- general physical examination, systemic examination, per speculum, and per vaginal examination was done. Gestational age was calculated by last menstrual period. Each participant was subjected to transvaginal ultrasonography. Philips HD 11xE model ultrasound machine was used which had transvaginal probe of frequency 6-9MHz. All scans were performed by a single sonographer. On sonography gestational sac diameter, mean yolk sac diameter, yolk sac size and shape, crown ramp length was measured. Results: Total subjects participated in the study were 230, minimum and maximum ages were 19 years and 38 years respectively. Mean age was 27.68+4.38-year, maximum number of woman 128/230 (55.7%) were in the age group of 23-30 year. Out of 230 women small yolk sac (<3.5mm) was observed in 17(7.39%) women. Out of these 17 women with small yolk sac size, 13(76.47%) women had abortion and remaining 4 (23.52%) women had continued the pregnancy. Conclusion: Suggested that pregnant women with large yolk sac had normal fetal outcome while patients with small yolk sac had more incidence of missed or spontaneous abortion. So, it showed that small and irregular shape yolk sac has poorer prognosis.
Files
IJPCR,Vol13,Issue6,Article52.pdf
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Additional details
Dates
- Accepted
-
2021-07-23
Software
- Repository URL
- http://impactfactor.org/PDF/IJPCR/13/IJPCR,Vol13,Issue6,Article52.pdf
- Development Status
- Active
References
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