Abstract:
This study was conducted in Abu Gebeha area to highlight the sonographical findings of abnormal vaginal bleeding. The three hundred patients were examined to look for the most appropriate leading cause and what is the least one. The study concluded that the pregnancy related causes were by far the most common causes of abnormal vaginal bleeding and female genital track malignancy and hormonal imbalance are the least and this was the hypothesis which is suspected and fulfilled.
All patients who were well prepared are included in the study i.e full bladder for transabdominal scan (inclusion criteria) and those not prepared are excluded. The machines used in the study were, Esoate and Fukoda, probes were convex and linear with frequencies ranging from 3 – 5 MHZ. The transvaginal probe is not used. for more patients refused it. The statistics used in the study were (statistical package for social studies) (SPSS) which was conducted by Dr. Mohamed Al-Fadel, a lecturer in the College of Medical Radiology, University of Sudan and the results were obtained and analyzed. The study was conducted from the period of Oct 2007 to Oct. 2008. As the study concluded pregnancy related causes of abnormal bleeding are by far the most ones, and this for many factors insidious or human made. So I am recommending more participation of health personnel on community by many tools including health education and other primary health care program. The decision maker should participate by training programs, supplying of equipments like ultrasound machines and specialized health personnel. I recommend also more researches to pick out most health problems and by doing so we may interfere in the right time i.e. lowering maternal mortality and prenatal mortality rate. Lastly every health unit must have ultra sound machine which enable the health services provider with a lot of information which were before not available without hazards, since this diagnostic ultrasound not only has gained wide clinical acceptance because of its easy use and patient comfort, but has also profoundly influenced the general practice of medicine and specially obstetric and gynecology