Assessment of Causes of Miscarriage in the Early Pregnancy Using Ultrasonography

Abstract

Miscarriage is defined as the spontaneous loss of a pregnancy during the first 24 weeks of gestation. Early miscarriage’ is defined as pregnancy loss during the first trimester of pregnancy (less than 12 weeks of gestation) and occurs in up to one in five pregnancies. Late miscarriage occurs during the second trimester (12–24 weeks of gestation) and is less common. The aim of this study was to identify the causes of miscarriage as well as to correlate ultrasound findings to the main causes and clinical presentation of maternal. The study conducted at Zayed city Hospital in U.A.E, 75 patients were enrolled in the study. All patients were scanned with ultrasound using transabdominal and transvaginal probe (3.5 - 7.7 Hz). Clinical data as well as ultrasound findings were collected and analysed. The study revealed that the causes of miscarriage were unexplained in 64% of study sample. Infection was also contributed with 15%; furthermore vitamin D deficiency and high risk pregnancy represent the same percentage (6%). Less common cause was gestational diabetes. Further research can be conducted using well controlled and large sample size to identify more causes. In addition new policies including public education to raise awareness and screening programmes for appropriate causes associated with adverse pregnancy outcomes could result in a decrease in the number of miscarriages.