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Submitted: 20 January 2015 Modified: 15 January 2018
HERDIN Record #: PCHRD15012002292995

Sonographic findings predictive of early pregnancy loss: A retrospective review.

1Jacky Lou F. Macapagal,
2Brenda Bernadette B. Zamora
Department of Obstetrics and Gynecology - St. Luke's Medical Center

Abstract

The objective of this study was to determine if abnormal sonographic findings among live embryo are predictive of early pregnancy loss.


METHODS: This was a retrospective cohort analytic study involving 419 pregnant women with viable first trimester pregnancy transvaginal sonographic examination. Sonographic characteristics of the choriodecidual appearance, gestational sac position, yolk sac size, fetal heart rate, subchorionic hemorrhage and laterality of the corpus luteum were noted. The clinical outcome of pregnancy loss of less than 12 weeks' gestation occurred following the sonogram. Univariate and multivariate logistic regression analyses were performed to estimate odds ratios for the independent predictor variables in the study. Sensitivity, specificity and accuracy were computed.


RESULTS: Irregular choriodecidual appearance, low gestational sac, micro yolk sac, presence of subchorionic hemorrhage and literality of corpus luteum formation were not significantly associated with early pregnancy loss. Fetal bradycardia


CONCLUSION: Sonograpic finding of fetal bradycardia ≤100bpm is a predictor of early pregnancy loss. It may be recommended that a woman with a viable early first trimester gestation with fetal bradycardia should have a repeat sonogram later in the first trimester to re-assess fetal viability.

1.
Publication Type:
Journal
Publication Sub Type:
Journal Article, Original
Title:
Philippine Journal of Obstetrics and Gynecology
Frequency:
Quarterly
Publication Date:
April-June 2013
Volume:
37
Issue:
2
Page(s):
80-88
Publisher:
Philippine Obstetrical and Gynecological Society

LocationCall NumberAvailable FormatAvailability
Philippine Council for Health Research and Development Library Box no. 52A Fulltext pdf (Request Document)