Predictors of poor first trimester outcome in asymptomatic women : the value of embryonic heart rate, mid sac diameter yolk sac ratio and mid sac diameter crown rump length
Joint Authors
Abd al-Qadir, Hala
al-Sadi, Wasan Ismail
Abd al-Kazim, Suad
Jassam, Nibras
Muhammad, Taqwa Nihad
Source
al-Kindy College Medical Journal
Issue
Vol. 13, Issue 2 (31 Dec. 2017), pp.49-53, 5 p.
Publisher
University of Baghdad al-Kindi College of Medicine
Publication Date
2017-12-31
Country of Publication
Iraq
No. of Pages
5
Main Subjects
Abstract EN
Background: Ultrasound provides a powerful tool for assessing early pregnancy and detecting pregnancy failure at first trimester and promoting rapid effective management.
Several criteria have been established to predict the pregnancy outcome particularly in symptomatic women .
Aim: To evaluate asymptomatic women at the first trimester of pregnancy , to assess the efficacy of certain ratios as mid sac diameter (MSD) / yolk sac ratio & crown rump length (CRL)/mid sac diameter (as indicator of early first trimester oligohydramnios) in predicting poor 1st trimester outcome Type of the study: A cross-sectional study.
Patients & Methods: A sixty three asymptomatic women were enrolled in this prospective study .
Transvaginal sonography was performed for confirmation of pregnancy viability & exclusion of multiple pregnancies 6-8 weeks of gestation & follow up ultrasound repeated at the beginning of second trimester to confirm the continuation of pregnancy and viability of fetus.
Several parameters assessed and tested against each others as embryonic heart rate , the size and morphologic criteria of gestational sac , yolk sac and the crown rump length Results: The women were classified into two groups: group A are those with successful outcome at the first trimester and group B are those with poor outcome of the 1st trimester .
Decrease embryonic heart rate below 100 beat per minute and low mid sac diameter/ yolk sac size ratio of < 1.9 , were found to be significant predictors of poor outcome however mid sac diameter/crown rump length ratio was not found to have a similar significance Conclusion: In addition to the classical parameters assessed by trans-vaginal ultrasound, other important parameters need to be routinely applied as the embryonic heart rate that predict poor outcome when less than 100 bpm .
In addition to the ratio of mid sac diameter to the yolk sac diameter which , if less than 1.9 , may point to abnormal first trimester fate.
American Psychological Association (APA)
Abd al-Kazim, Suad& Jassam, Nibras& Muhammad, Taqwa Nihad& Abd al-Qadir, Hala& al-Sadi, Wasan Ismail. 2017. Predictors of poor first trimester outcome in asymptomatic women : the value of embryonic heart rate, mid sac diameter yolk sac ratio and mid sac diameter crown rump length. al-Kindy College Medical Journal،Vol. 13, no. 2, pp.49-53.
https://search.emarefa.net/detail/BIM-796450
Modern Language Association (MLA)
Abd al-Kazim, Suad…[et al.]. Predictors of poor first trimester outcome in asymptomatic women : the value of embryonic heart rate, mid sac diameter yolk sac ratio and mid sac diameter crown rump length. al-Kindy College Medical Journal Vol. 13, no. 2 (2017), pp.49-53.
https://search.emarefa.net/detail/BIM-796450
American Medical Association (AMA)
Abd al-Kazim, Suad& Jassam, Nibras& Muhammad, Taqwa Nihad& Abd al-Qadir, Hala& al-Sadi, Wasan Ismail. Predictors of poor first trimester outcome in asymptomatic women : the value of embryonic heart rate, mid sac diameter yolk sac ratio and mid sac diameter crown rump length. al-Kindy College Medical Journal. 2017. Vol. 13, no. 2, pp.49-53.
https://search.emarefa.net/detail/BIM-796450
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 52-53
Record ID
BIM-796450