الفهرس | Only 14 pages are availabe for public view |
Abstract The aim of the present study was to evaluate Gestational sac diameter and shape, yolk sac size and shape, embryonic heart rate and Crown rump length during the first trimester as prognostic factors of first trimester pregnancy outcomes. The present study was prospective observational cohort study carried out on 118 patients in Shebin Elkom teaching Hospital and Menoufia University Hospital, outpatient clinic and obstetrics and gynecology department in uncomplicated singleton pregnancy from (20-35) years old from October 2022 to October 2023. Pregnant women were divided into four groups group (1) included women who were examined during (6-7weeks +6days). group (2) included women who were examined during (8- 9weeks +6days). group (3) included women who were examined during (10- 12weeks). group (4) included women whose their pregnancies resulted into first trimester spontaneous miscarriage. All pregnant women attended antenatal clinic in their first trimester of pregnancy were counseled recruited for the study. Ultrasound was done for all women for measurement of gestational sac and yolk sac diameter, CRL and fetal heart rate. All pregnancies were followed for their pregnancy outcome after completion of 12 weeks by a subsequent ultrasound scan. Summary 44 The present study showed that: ● There was a highly statistically significant decrease in gestational sac diameter, fetal heart rate and CLR diameter in fetal loss group more than ongoing pregnancy at 6, 9 and 12weeks. ● Cut off value of gestational sac diameter at 6, 9 and 12 weeks to predict the outcome of pregnancy. It was 15mm at 6 weeks. At 9 weeks, the cutoff value was 27mm. At 12 weeks, the cutoff value was 57.5mm. ● Cut off value of fetal heart rate at 6, 9 and 12 weeks to predict the outcome of pregnancy. It was 104 at 6 week. At 9 weeks, the cutoff value was 126. At 12 weeks, the cutoff value was 117. ● Cut off value of CLR at 6, 9 and 12 weeks to predict the outcome of pregnancy. It was 8.5mm at 6 weeks. At 9 weeks, the cutoff value was 14.5mm. At 12 weeks, the cutoff value was 33mm. ● there was a highly statistically significant increase in yolk sac diameter in fetal loss group more than ongoing pregnancy at 6,9 and 12weeks. ● Cut off value of yolk sac diameter at 6, 9 and 12 weeks to predict the outcome of pregnancy. It was 3.75mm at 6 weeks. At 9 weeks, the cutoff value was 5.25mm. At 12 weeks, the cutoff value was 4.75mm. |