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Abstract
THE DIAGNOSTIC VALUE OF ULTRASOUND MEASUREMENTS IN PREDICTION OF FIRST TRIMESTER MISCARRIAGE
Odai H. Omar*, Mohammed T. Yahya and Mohamed M. Naif
ABSTRACT
Background: The use of ultrasound in conjunction with serum gestational enzyme levels facilitates the diagnosis, control, and management of early pregnancy loss; however, errors in usage and misinterpretation of these investigations can cause serious harm. An excellent-resolution pictures, minimal inter-observer variability, and excellent reliability are provided by transvaginal and abdominal ultrasonography, which are commonly used to diagnose intrauterine pregnancy and monitor its progression. Objective: To estimate a risk of first trimester pregnancy loss based solely on ultrasound findings. The study hypothesis was that different markers would sequentially become abnormal at different embryonal stages, when a pregnancy is destined to be lost. Methods: Case series study for 250 pregnant ladies who had been scanned by trans vaginal and trans abdominal ultrasound between (August 2024 to the end of September 2024) in Al Salam Teaching hospital in Mosul city, these (250) ladies had been distributed into three groups: First group comprised 65 women which are expected to end in abortion early, second group comprised 72 ladies have history of threatened abortion in which their pregnancy completed till 13 weeks. Third group comprised 113 ladies that have normal pregnancy. Results: The study shows that statistically significant differences between the study groups regarding FHR, CRL, GSD and YSD which were higher in (first & second group), for women end with actual abortion as the mean were 7.22 ± 0.23 mm, 51.73 ± 17.22 mm and 6.91 ± 0.8 mm respectively. If compared to the third group in which CRL, GSD and YSD were 6.89 ± 0.67 mm, 38.24 ± 13.97 mm and 6. 89 ± 0.67 mm respectively for women who completed their pregnancy. Conclusion: The use of an ultrasound machine to investigate and diagnose early pregnancy failure in conjunction with quantitative beta human chorionic gonadotropin hormone level assessment and progression gives definitive power in diagnosis and management for both normal and abnormal pregnancy outcome.
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