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Ultrasonic assessment of first trimester vaginal bleeding in duhok city

Author: 
Bareen Na Mohammed, M.B.Ch.B, D.M.R.D. Radiology, Maysaloon Sh Saeed, M.B.Ch.B, F.I.B.M.S. Radiology and Sohaib Hasan Ali, M.B.Ch.B, F.K.B.M.S .Radiology
Subject Area: 
Health Sciences
Abstract: 

Background: First trimester vaginal bleeding is one of the commonest obstetrical and gynecological emergencies all over the world. The aim of this study was the use of ultrasonic (US) imaging to identify the commonest causes of first trimester vaginal bleeding ( VB), finding their incidence in primigravida (pr.gr) and multigravida ( mu.gr) pregnant women, detecting the most frequent mean age of occurrence according to gestational age (GA) in weeks, looking for the incidence of viable and nonviable pregnancy among them, their relations with a bad obstetrical history and finally estimating the disparity between clinical and ultrasonic diagnosis. Methods: A cross sectional study that has been done on 113 pregnant women presented with first trimester vaginal bleeding, attending Azadi Teaching Hospital and Duhok Maternity Hospital from 1stJune to 22 of November (2019 ). All patients were clinically referred byspecialized clinicians and subjected to US examination under supervision of specialized radiologists, all were exposed to trans Abdominal Ultrasound (TAU) to assess the causes of the bleeding correlated with the clinical diagnosis, mean gestational ages of occurrence in weeks, the incidence of viable pregnancy, the gravida of patients and their previous obstetrical history. Results: The mean age of the examined patients was29.4±5.9 years, (mu.gr)were more than (pr.gr) constituting (81.4%) of the cases while the(pr.gr) constitute (18.6%) of the cases, the GA of these was between 6-8 weeks with the mean 8.2±1.6 weeks. Non-viable pregnancy constitute (67.3%) of total, the most common cause of VB was miscarriage (84.1%). Followed by ectopic pregnancy (6.2%) thenhydatiform mole (3.5%). The most common subtype of miscarriage was threatened (32.7%). Among all the patients, thewhole difference between US diagnosis and medical diagnosis were found in 72 patients. Conclusion: USexamination of the cases complaining from first trimester VB is helpful in confirming and diagnosing different causes,mean gestational age of occurrence, incidence of viable pregnancy compared with the clinical diagnosis.

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