Comparison of ultrasonographic and Doppler mapping of the intervillous circulation in normal and abnormal early pregnancies
Journal Title: International Journal of Medical and Health Research - Year 2019, Vol 5, Issue 3
Abstract
There has been increased in studying the development of Intervillous circulation during early pregnancy gestation, made possible by the availability of using transvaginal ultrasound and transvaginal colour Doppler imaging. Objectives: To assess the value of transvaginal ultrasonography and transvaginal colour Doppler imaging in characterizing the Intervillous circulation in normal and abnormal pregnancy. Design: cross-sectional study. Setting: AL-Elwiya Maternity Teaching Hospital, Baghdad-Iraq. Main outcome measures: Comparison of detection of the moving echoes in the Intervillous circulation with grey-scale and colour Doppler imaging in normal and abnormal early pregnancies. Subject and Methods: 162 pregnant women fulfilled the criteria for the inclusion in this study were evaluating for diagnosis and fate of pregnancy. All of the pregnant women were subjected to transvaginal ultrasound and transvaginal colour Doppler imaging examination only once time by using 5-MHz curve liner transvaginal probe, with pulsed colour and power Doppler facilities and real time grey-scale ultrasound were used to evaluate the placenta anatomy and to detect the moving echoes inside the Intervillous space at peripheral and central areas. 67 pregnant women has been subjected to both above examinations at 7-9 weeks, 53 of total 162 at 10-11 weeks and the rest 42 at 12-14 weeks of pregnancy. Results: the overall degree of agreement between the two investigations was good. A significant different distribution of blood flow was found between normal and abnormal pregnancies at 7 to 9 weeks and 10 to 11 weeks but not at 12 to 14 weeks. There is no difference in the use of the transvaginal ultrasound and transvaginal colour Doppler imaging regarding the efficiency of the equipment but it remain dependable on the efficiency of the sonographist. Conclusion: we concluded from this study the beneficial use of the transvaginal ultrasound or transvaginal colour Doppler imaging in estimating the state or the conditions of the placenta in early pregnancy and the results of these examinations may give an idea to some extents about the fate of the pregnancy. Early prediction of pregnancy that ended with abortion during the first trimester for any reason (Genetic, Immunological, Infectious) still represent a big challenge to the clinicians and patients were reflect the many ways for substantiation the pregnancy like Aspirin, Progesterone derivatives. This study shows that simple methods are useful for the prediction of the fate of the pregnancy that liable for abortion.
Authors and Affiliations
Dr. Ahmed Rifat Shakr, Dr. Suha Abdul Jaleel Wadi, Dr. Farah Muayyed Gebriel
Keywords
Related Articles
- EP ID EP583252
- DOI -
- Views 146
- Downloads 0
Quality of life, loneliness, and social contact among long-term psychiatric patients
Quality of life (QoL) has been recognized as an important outcome of s Long-Term Psychiatric treatment, yet the determinants of QoL for patients with Long-Term Psychiatric are not well known. Research has consistently fo...
Clinical assessment of anti-dengue IgM antibodies in suspected dengue cases in ANMMC, Gaya, Bihar
Laboratory diagnosis of dengue virus infection is based mainly on serological tests. They are relatively inexpensive and easy to perform as compared to culture and nucleic acid based methods. In the primary infection, an...
Assessment of stapes-pyramidal fixation by a bony bar
Symmetrical hearing loss averaging 30-60 dB (0-125-8 kHz) became apparent between 8 and 24 years of age. Tympanotomy showed a fixed stapes either through ossified stapedius tendon or through a bony bridge from the stapes...
Assessment of morphology of ulnar nerve in the human axilla & arm and to study its variations
The ulnar nerve is a major peripheral nerve of the upper limb. In this article, we shall look at the applied anatomy of the nerve – its anatomical course, motor functions and cutaneous innervation. We shall also consider...
Medicolegal evaluation of cause of death of unknown dead bodies brought to the mortuary of Assam medical college and hospital, Dibrugarh, Assam
Every unidentified or unknown dead body brought to the medical examiner; indirectly or directly relates a person to missing friends or family. In each of these cases the body remains un-identified where the police/invest...