ROLE OF USG FINDINGS AS A PREDICTIVE MARKER IN THREATENED ABORTION

Authors

  • Kamlesh Yadav Senior Professor, Department of Obst & Gynae, Sardar Patel Medical College and Associated Group of Hospitals Bikaner, Rajasthan.
  • Pragya Ojha 3rd Year Post Graduate Resident, Department of Obst & Gynae, Sardar Patel Medical College and Associated Group of Hospitals Bikaner, Rajasthan.

DOI:

https://doi.org/10.32553/ijmbs.v5i4.1853

Keywords:

Pregnancy, Abortion, Threatened, USG

Abstract

Background: The Centers for disease control and prevention, and the World Health Organization all define abortion as pregnancy termination before 20 week gestation or with fetus born weighing <500g [1].  Early pregnancy USG parameters: - fetal crown-rump length (CRL), the presence/absence of sub-chorionic hematoma and Fetal Heart Rate (FHR) are good predictors of outcome.

Material and Methods: The study was conducted in the Department of Obstetrics and Gynaecology, S.P. Medical College Bikaner& associated Group of Hospital, Bikaner, Rajasthan. This is a hospital based prospective comparative study. The study group comprise of pregnant females attending Obstetrics and Gynaecology OPD. A total of 200 pregnant women are examined in this study. We divided these patients into 2 groups i.e group A and group B. Group A consists of 100 pregnant females with threatened abortion and group B with 100 normal pregnant female.

Results: FHR at 115bpm is 76.32% sensitive, 90.32% specific in predicting abortion with 82.86%  positive predictive value and  86.15% negative predictive value.  While CRL at 11 mm is 50% sensitive, 69.35% specific in predicting abortion with 55% positive predictive value and 69.35% negative predictive value.  

Conclusion: FHR is best predictive marker followed by presence or absence of sub-chorionic hematoma and CRL  in threatened abortion which results in loss of pregnancy.

Keywords: Pregnancy, Abortion, Threatened, USG

Downloads

Published

2021-04-05

How to Cite

Yadav, K. ., & Ojha, P. . (2021). ROLE OF USG FINDINGS AS A PREDICTIVE MARKER IN THREATENED ABORTION. International Journal of Medical and Biomedical Studies, 5(4). https://doi.org/10.32553/ijmbs.v5i4.1853

Issue

Section

Articles