Study the causes of first trimester complications using Ultrasonography in Nyala city

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.