Uterine and Subendometrial Arteries Doppler in Patients with Recurrent First Trimestric Abortion

Document Type : Original Article

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Department of Obstetrics and Gynecology, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt.

Abstract

Abstract
 
Background: Abortion is characterized as the removal or expulsion of conception products from the uterus prior to fetal viability, or when the baby weighs under five hundred grams or measures below twenty-five centimeters in length.
Aim: To assess the Doppler characteristics of the uterine and subendometrial arteries in cases having recurrent first-trimester abortions.
Patients and methods: This prospective research has been carried out at the Obstetrics and Gynecology Department, Al-Hussein University Hospital (Al-Azhar University Hospital). This study was conducted on recurrent 1st trimestric abortion cases. Cases have been separated into two groups: Group A: 50 cases with recurrent first-trimester abortion underwent uterine and subendometrial arteries Doppler at 7 – 9 weeks of pregnancy, and Group B: 50 normal control group underwent uterine and subendometrial arteries Doppler at 7 – 9 weeks of pregnancy. This study was conducted from January 2024 to October 2024.
Results: Pulsatility index (PI) had a sensitivity of 92% and specificity of 82%, which was highly significant for detecting miscarriage. A statistically insignificant correlation has been observed between the number of previous pregnancy losses and months of pregnancy. A highly statistically significant positive association has been observed among the number of previous pregnancy losses and left and right uterine artery PI and mean uterine artery PI.
Conclusion: Color Doppler ultrasonography is a non-invasive, safe, cost-effective modality that can identify abnormal uterine Doppler indices predictive of pregnancy outcomes.
 

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