Assessment the causes of Vaginal Bleeding in First Trimester using Ultrasonography

Abstract

This was a retrospective cross sectional study which conducted in ultrasound department of Omdurman maternity hospital from August 2017 to January 2018, Khartoum- Sudan. The study discussed assess of vaginal bleeding causes in first trimester and pregnancy outcome using Transabdominal and Transvaginal Ultrasonography. A total of “50” patients were selected randomly; all those patients had age between twenty three and twenty seven years, had pregnancy in first trimester with bleeding, any single female and that had normal pregnancy or pregnancy in second and third trimester was excluded from this study. All patients were subjected to be examined by U/S scanning using Eucup 7 and General Electric scanners with 3,5MHz probe. Data was collected using a data collecting sheet and in data analysis the author uses the crsstabulation, linear regregation and discriminant analysis. Study showed that the causes of vaginal bleeding in first trimester were incomplete abortion 32%, threated abortion 32%, complete abortion 22%, ectopic pregnancy 6%, inevitable abortion 2%, missed abortion 2% and molar pregnancy 2%. Study concluded that vaginal bleeding in the first trimester was common occurs in gestational age between 5 to 8 week and affected age group was 23-27 years, mainly in the housewife. Further studies should be carried out in this field on many aspects such as increasing the number of patients, to show the relation between vaginal bleeding and maternal diseases, comparing between the role of U/S scanning and other diagnostic tools, using color Doppler ultrasonography.