Abstract:
Diagnostic ultrasound is powerful and frequently used tool in the assessment of
first-trimester pregnancy. Routine ultrasound examination is frequently performed
to obtain information that will enable delivery of optimal antenatal care and thus the
best possible outcome for mother and fetus. The main objectives of this study is to
identify sonographic features of early pregnancy failure, To determine the causes of
pregnancy failure in fist trimester, and To study the role of ultrasound in
differentiate the type of pregnancy failure in first trimester.
The study was conducted at three ultrasound clinics in Nyala City, western Sudan.
A total of 40 patients whom referred to the ultrasound clinics for assessing their
first trimester pregnancy, with symptoms of abdominal pain, vaginal bleeding or
both. The main results of study were the highest number of patients were found
within age group of 25-34 years (20 patients (50%) while the lowest were found for
age group of 45-54 years (1 patients (2.5%).The highest number of patients were
found within G5 & G7 (12.5%) while the lowest were found for G11. the majority
of the patients were house wives (67%) while the little portion of the patients are
workers (33%).The main cause of complications during pregnancy of the entire
patients group. Fibroids (7(17.5%) and trauma (4 (10%) are the main causes while
the vast majority remain unexplained (24 cases 60%). This study revealed higher
complications were reported with patient's with low parity, older patients and
inversely proportional with the number of pregnancies. Improvement of the
awareness of ladies regarding pregnancy complications will enable early diagnosis
and improve the outcome of the management.
