THE INCIDENCE OF ULTRASOUND DIAGNOSED UTERINE ABNORMALITIES RELATED TO MISCARRIAGE RATES – A LOCAL AUDIT
Introduction. Uterine abnormalities are traditionally presented as the cause of pregnancy loss at specific time of pregnancy, mostly at the first or second trimester. The aim of the current study is to use ultrasound to identify the relationship between the incidence of uterine abnormalities and m...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Amaltea Medical Publishing House
2019-09-01
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| Series: | Romanian Journal of Medical Practice |
| Subjects: | |
| Online Access: | https://revistemedicale.amaltea.ro/Romanian_Journal_of_MEDICAL_PRACTICE/Practica_medicala-2019-Nr.3/RJMP_2019_3_Art-19.pdf |
| Summary: | Introduction. Uterine abnormalities are traditionally presented as the cause of pregnancy loss at specific
time of pregnancy, mostly at the first or second trimester. The aim of the current study is to use ultrasound to
identify the relationship between the incidence of uterine abnormalities and miscarriage at different stages of
pregnancy.
Patient and method. 174 cases of women with miscarriage have been examined by transabdominal and
transvaginal ultrasound. The patient age was from (18 to 45) years and the data collected over eight month
from five different hospitals.
Results. The age group of (26-35 years) has the largest percentage of miscarriage among other tested age
groups with 40.8% in (71cases). Also it was found that single miscarriage was presented in most of the cases.
Miscarriage in women with uterine abnormalities was found in 46.6% of the cases. The major uterine anomalies were bicornuate, septate, arcuate and unicornuate uterus which present in (24.69%, 19.75%, 9.88% and,
7.41%) respectively. Other ultrasound findings were fibroid, cervical incompetence and endometriosis which
occur in (14.81%, 13, 58 % and, 9.88%) correspondingly.
Conclusions. Pregnancy loss is likely to occur in women with bicornuate and septate uterus more than any
other uterine anomalies, while the incidences are fewer in women with unicornuate uterus. Furthermore, uterine fibroid is present to be one of the major uterine diseases which can have negative impact on pregnant women, also cervical incompetence and endometriosis are considered as important factors, which can cause pregnancy loss that required further evidence. |
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| ISSN: | 1842-8258 2069-6108 |