Ultrasound Findings Of Threatened Abortion in Sudan

Abstract

This study was conducted in khartoum state, Sudan, in the ultrasound departments of Elsheikh Mohemmed Ali Faduol - Omdurman. The problem of the study was the Abortion is the most common complication in the early pregnancy and threatened abortion had been shown to be associated with increased incidence of antepartum hemorrhage, preterm labour and intra uterine growth retardation. The importance of the study was to asses the role of ultrasound in threatened abortion to prevent spontaneous pregnancy loss. The aim of the study was to characterize the threatened abortion by ultrasound . This is a cross section , descriptive study carried out during the period from 2014 to 2015. the clinical data were collected from 50 pregnant patients who were hospitalized with clinical diagnosis of threatened abortion (with vaginal bleeding, lower abdominal pain , cramping and closed os)., and ultrasound exam was done. The data classified and analyzed by using SPSS and Ecxel programs. The analysis of the results showed that the most Ultrasound finding of threatened abortion are sub chorionic hematoma among maternal age (36-45) and gestational age (5-7 weeks) which is 76% , abnormal gestational sac 10%, abnormal heart beats 10% and abnormal yolk sac 4%. Gray scale images are specific for detecting threatened abortion and presence of heart beats was the key for diagnosis. Subchorionic hematoma is common to be present in most cases of threatened abortion . The study recommended that real time ultrasound imaging should be the first choice modality for quick diagnosis of threatened abortion and to complement laboratory investigation . US request should include brief clinical background and patient history.