Study of Causes of First Trimester Complications usingUltrasonography

Abstract

The demand for ultrasound in early pregnancy has been increasing steadily, and is now a routine investigation for most women within the first trimester of their pregnancy. It is a safe investigation which provides reassurance, charts normal development, and identifies women with abnormal or high risk pregnancies. The main objectives of this study isto determine the causes of pregnancy failure in first trimester, toidentify sonographer features of early pregnancy failure, and to study the role of ultrasound indifferentiate the type of pregnancy failure in first trimester. The study was conducted at Alturky TeachingHospital. Patients whom referred to the ultrasound clinic for assessing theirfirst trimester pregnancy, with symptoms of abdominal pain, vaginal bleeding orboth.On this studyamong 50 pregnant women the highest numbers of patients were found within age group of 28-37 years (27 patients (54%) while the lowest were found for age group of 38-47 years (9 patients (18%).According to parity , (34%) of patients with only one pregnancy then p2 (26%), p0 (16%) while P5 and P7 (2%), In addition to that (42%) of patients with only one abortion, while patient with recurrent abortion (3&4) times were (2%).the majority of the patients were house wives (78%) while the little portion of the patients are workers (22%).The result of this study revealed that the major cause wereunexplained (31 patient( 62%), while trauma (14 patient (28%) andFibroids (5 patient (10%).This study revealed highercomplications were reported with patient's with low parity, older patients andinversely proportional with the number of pregnancies. Improvement of theawareness of ladies regarding pregnancy complications will enable early diagnosisand improve the outcome of the management.