Evaluation of late stage pregnancy bleeding using Ultrasoud

Abstract

This study is looking into the ultrasound findings of the causes of vaginal bleeding in late pregnancy in Elsaudi Hospital in Omdurman city. The objective of this study was to determine the causes of vaginal bleeding in late pregnancy to find out Sonographical markers if any. It was carried out on 30 pregnant women complaining of vaginal bleeding in the second and third trimester in Omdruman city Hospital. The study was conducted from June to November 2014. The machine used in the study was Toshiba with 3-7.5 MHz , probes were convex with frequencies ranging from 3-4MHz and convex with frequencies up to 7.5 MHz. All pregnant women were prepared by emptying their bladders and using trans-abdominal and trans-vaginal probes for scanning, women were scanned in supine position. This study, concluded that placenta previa is the commonest cause of late pregnancy vaginal bleeding which is constitute 53.3%, other causes of vaginal bleeding include placenta abruption, 45.6% and uterine trauma 1.1% . The study also revealed that the incidence of vaginal bleeding in late pregnancy is more common in patients aged 18 to 37 years. The study showed that most pregnant women were multigravida (83.3%) and the majority were from lower socioeconomic class (63.3%).