Volume 8, Issue 3 (7-2022)                   RABMS 2022, 8(3): 128-136 | Back to browse issues page


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Pilli S, Bangaru B, Shaik A A H. Ultrasound for the diagnosis of bleeding in the first trimester of pregnancy. RABMS 2022; 8 (3) :128-136
URL: http://ijrabms.umsu.ac.ir/article-1-206-en.html
Assistant Professor, Department of Radio Diagnosis, Kakatiya Medical College, Warangal, Telangana State, India , srujana.rad@rediffmail.com
Abstract:   (334 Views)
Background & Aims:  Abortions, ectopic pregnancy, and molar pregnancy are the common causes of bleeding during the first trimester. Current study evaluated the first trimester bleeding and prognosticate and predict the status of abnormal pregnancies using ultrasound scan.
Materials & Methods: In this ‌‌observational study, total 100 pregnants of aged from 22 to 34 years with first-trimester vaginal bleeding were examined by Ultrasonography. Demographics, obsestric history such as age, parity, gravidity bleeding severity, ultrasonography results, and clinical diagnosis referred in categorical data and analysed using Chi-square analysis. Statistical analyses were done by SPSS ver. 24.
Results: Spotting in 40%, light in 28%, and heavy in 32% of the pregnants in heaviness of bleeding. 73% of pregnant reported spontaneous bleeding. Threatened abortion clinically diagnosed in 52 cases; Ultrasonography confirmed 24 pregnant as threatened abortions and aids in correctly diagnosing 8 cases that were missed on clinical examination. 24 pregnant women out of 36 threatened abortions were continued to term, with a 66 % success rate. Ultrasonography correctly diagnosed pregnant women who were threatened with abortion (n=36), incomplete abortion (n=20), missed abortion (n=8), ectopic (n=8), inevitable abortion (n=8), blighted ovum (n=4), and Hydatidiform mole (n=4). 96 out of 100 pregnants were correctly diagnosed by Ultrasound when compared to 72 out of 100 cases on the basis of clinical diagnosis with a disparity of 64%. On follow-up, six cases of threatened abortion were terminated.
Conclusion: Ultrasonography plays an important role in the etiological diagnosis of bleeding in the first trimester of pregnancy; in most cases, a responsible abnormality of bleeding is easily identified. Using Ultrasonography, misdiagnosis at first trimester can be avoided.

 
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Type of Study: orginal article | Subject: General

References
1. Kavyashree HS, Rajeshwari K. A study on pregnancy outcome in patients with first trimester vaginal bleeding. Int J Reprod Contracept Obstet Gynecol 2019;8(3):820-5. [DOI:10.18203/2320-1770.ijrcog20190524]
2. Gupta N, Samariya M, Choudhary D, Yadav K, Kannoujiya P. Ultrasonographic evaluation of first trimester bleeding per vaginum. Int J Reprod Contracept Obstet Gynecol 2016;5(9):3085-7. [DOI:10.18203/2320-1770.ijrcog20162990]
3. Hasan R, Baird DD, Herring AH, Olshan AF, Funk ML, Hartmann KE. Patterns and predictors of vaginal bleeding in the first trimester of pregnancy. Ann Epidemiol 2010;20(7):524-31. [DOI:10.1016/j.annepidem.2010.02.006] [PMID] [PMCID]
4. Kk S. A comparative study of ultrasonographic evaluation of vaginal bleeding in pregnancy with clinical examination. Int J Reprod Contracept Obstet Gynecol 2019 ;8(4):1250-4. [DOI:10.18203/2320-1770.ijrcog20191090]
5. Pandya DD, Patel RV, Patel SV, Deliwala DJ, Shah PT, Patel MS. Role Of Ultrasound In First Trimester Bleeding Per Vaginum. Natl J Integr Res Med 2021;12(3). [Google Scholar]
6. David AL, Turnbull C, Scott R, Freeman J, Bilardo CM, Van Maarle M, Chitty LS. Diagnosis of Apert syndrome in the second‐trimester using 2D and 3D ultrasound. Prenatal Diagnosis: Published in Affiliation With the International Society for Prenatal Diagnosis 2007;27(7):629-32. [DOI:10.1002/pd.1758] [PMID]
7. Tonni G, Centini G. Three-dimensional first-trimester transvaginal diagnosis of alobar holoprosencephaly associated with omphalocele in a 46, XX fetus. Am J Perinatol 2006;23(01):67-70. [DOI:10.1055/s-2005-923436] [PMID]
8. Roman AS, Monteagudo A, Timor‐Tritsch I, Rebarber A. First-trimester diagnosis of sacrococcygeal teratoma: the role of three-dimensional ultrasound. Ultrasound Obstet Gynecol 2004;23:612. [DOI:10.1002/uog.1055] [PMID]
9. Pajkrt E, Jauniaux E. First-trimester diagnosis of conjoined twins. Prenat Diagn 2005;25:820. [DOI:10.1002/pd.1267] [PMID]
10. Gadelha PS, Da Costa AG, Mauad Filho F, El Beitune P.. Amniotic fluid volumetry by three-dimensional Ultrasonography during the first trimester of pregnancy. Ultrasound Med Biol 2006;32:1135. [DOI:10.1016/j.ultrasmedbio.2006.04.015] [PMID]
11. Aronu ME, Okafor CO, Mbachu II, Iloraah US, Ikeako L, Okafor CI. A review of the correlation between clinical diagnosis and ultrasound diagnosis in first trimester vaginal bleeding. Ann Med Health Sci Res 2018;8(2):120-4. [Google Scholar]
12. Belley Priso E, Moifo B, Zeh O, Nana Njamen T, Foumane P, Nguemgne C, et al. Contribution of Emergency Ultrasonography in the Management of Bleeding during the First Trimester of Pregnancy at the Douala General Hospital. African J Med Imaging 2010;3:187-96.
13. Enaruna N, Anya C, Anyanwu C. Early and late pregnancy complications in women who experience first trimester vaginal bleeding at a University Hospital, Benin City, Nigeria. J Med Biomed Res 2020;19(1):23-32. [Google Scholar]
14. Diarisso A. First Trimester Hemorrhages at Nianankorofomba de Segou hospital. End of Study Medicine Thesis, University of Bamako, Mali, 2012:90. [URL]
15. Thobbi VA, Deshpande G, Afreen UA, Nooreen R. Ultrasonographic evaluation of first trimester vaginal bleeding. Al Ameen J Med Sci 2016;9(2):107-11. [URL]
16. Coulibaly N. Study of the First Trimester of Bleeding in the Gynecology and Obstetrics Department of the Reference Health Center of Commune V of BAMAKO District. End of Study Medicine Thesis, University of Bamako, Mali. 2010. [URL]
17. Malhotra J, Saxena K, Malhotra N. Ultrasound evaluation of first trimester bleeding per vaginum.J Obstetr Gynecol India 1987;37:341-3
18. Reddirani P, Sunita V. Ultrasound evaluation of the cause of vaginal bleeding in the first trimester of pregnancy. J Obstet Gynecol India 2000;50(1):54-8.
19. Boco V, Akpovi J, Takpara I, Latoundji MC, Lantokpode JC, Perrin R. Interest of Ultrasound in Metrorrhagia of the First Trimester Pregnancy. Med Afr Noire 1997; 44:97-100. [URL]
20. Guena MN, Alapha FZ, Kemegne DC, Nana AN, Zeh OF, Fotsing JG. Ultrasound Study of First Trimester Bleeding. Open J Radiol 2019;9(1):58-68. [DOI:10.4236/ojrad.2019.91006]
21. Yang J, Hartmann KE, Savitz DA, Herring AH, Dole N, Olshan AF, Thorp Jr JM. Vaginal Bleeding During Pregnancy and Preterm Birth. Am J Epidemiol 2004;160:118-25. [DOI:10.1093/aje/kwh180] [PMID]
22. Singh K. Assessment of First Trimester Vaginal Bleeding Using Ultrasound Sonography. Asian J Biomed Pharmaceutical Sci 2016;6: 54-6. [URL]

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