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American Journal of Oral Medicine and Radiology

Volume 5, Issue 2, 2018
Mcmed International
American Journal of Oral Medicine and Radiology
Issn
XXX-XXXX (Print), 2394 - 7721 (Online)
Frequency
bi-annual
Email
editorajomr@mcmed.us
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Abstract
Title
ULTRASONOGRAPHY FINDINGS OF SPONTANEOUS ABORTION, ECTOPICS AND SUSPECTED HYDATIFORM MOLE
Author
Santosh S Reddy Patil* and Shrikirthi Vinnakota
Email
srpatil@gmail.com
keyword
First trimester bleeding, ultrasound examination, clinical examination
Abstract
Vaginal bleeding in the first trimester of pregnancy is a common obstetric problem and is a cause of anxiety and worry both to patient and obstetrician .The causes of bleeding during first trimester include various types of abortions ectopic pregnancy and molar pregnancy. Clinical history and pelvic examination are inadequate in assessing the prognosis. We studied 50 cases of pregnant women who presented with bleeding per vaginum during the first trimester between January 2010 to July 2011.All patients were evaluated with clinical history, clinical examination, and ultrasonography. 48 out of 50 cases were correctly diagnosed on ultrasound compared to 18 out of 50 cases on clinical diagnosis with a disparity of 64%. 4 out of 5 proved ectopic pregnancies were correctly diagnosed both on clinical and ultrasound examination. Ultrasound is a non- invasive, non- ionizing, without any proven harmful effects on the developing fetus and easily available method of investigation to assess the patients with first trimester bleeding which is highly accurate in diagnosing the actual causes of bleeding and guides the clinician in choosing the appropriate line of management and prevents mismanagement of the cases.
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