Document Detail


Fetal loss in threatened abortion after demonstration of fetal cardiac activity in a low socioeconomic population.
MedLine Citation:
PMID:  20701515     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study was conducted to determine the incidence and risk factors of fetal loss in threatened abortion after ultrasonographic detection of fetal cardiac activity in a low socioeconomic population. A total of 202 women with singleton pregnancies who presented with vaginal bleeding in which fetal heart activity was ultrasonographically demonstrated between 5 and 14 weeks' gestation were included. Pregnancies with fetal abnormalities were excluded from the study. All cases were followed-up with respect to pregnancy outcomes. A total of 54 of 202 pregnancies (26.7%) resulted in fetal loss before 20 weeks' gestation. The mean fetal heart rate (FHR) and cervical length values were lower in spontaneous abortions than in viable pregnancies (121.2 +/- 13.3 vs 143.5 +/- 12.4 and 41 +/- 6.0 vs. 34.8 +/- 6.1, respectively; p < 0.001). A receiver operating characteristic (ROC) curve analysis revealed an area under the curve of 0.88 for FHR and 0.77 for cervical length. A FHR value <130 b.p.m. was 81.4% sensitive, 85.1% specific and a cervical length value <40 mm was 80.8% sensitive, 54.7% specific for determination of fetal loss before 20 weeks' gestation. Fetal loss was observed in about one-quarter of pregnancies admitted with threatened abortion in a low socioeconomic population. Bradycardia and short cervix were found to be significant risk factors affecting the pregnancy outcome in women presenting with vaginal bleeding, in whom fetal cardiac activity was documented.
Authors:
F S Dede; U Ulucay; M F Kose; H Dede; S Dilbaz
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology     Volume:  30     ISSN:  1364-6893     ISO Abbreviation:  J Obstet Gynaecol     Publication Date:  2010  
Date Detail:
Created Date:  2010-08-12     Completed Date:  2011-01-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309140     Medline TA:  J Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  622-5     Citation Subset:  IM    
Affiliation:
Etlik Zubeyde Hanim Women's Health Teaching and Research Hospital, Ankara, Turkey. fsdede@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Abortion, Threatened / epidemiology,  ultrasonography*
Adult
Female
Gestational Age
Humans
Poverty
Pregnancy
Pregnancy Outcome
Uterine Hemorrhage / ultrasonography*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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