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Ultrasonographic Assessment of Early Gestational Sac And Its Association With Pregnancy Outcomes

Year 2014, Volume: 11 Issue: 4, 133 - 135, 01.10.2014

Abstract

Aim: The measurements performed as a part of the diagnostic ultrasonography in pregnancy, has significant value in determining the reference ranges. In this study, we compared the distance of decidua basalis to uterine serosa and the distance of chorion to uterine serosa in early pregnancy to investigate whether these measurements have any effect on pregnancy outcome.Material and Methods: 50 patients were evaluated by ultrasonography who had pregnancies between 4 weeks 0 days and 12 weeks 6 days. The prognosis of pregnancies and perinatal outcomes of these cases were investigated from hospital records. The distances of the decidua and chorion to serosas of the uterine side walls and fundus were measured in the sagittal and transverse planes.Results: Decidua to side wall serosa distances in transverse sections were positively correlated with the term births p=0.002 . Fundal wall thickness of chorion to serosa in sagittal sections were also revealed significant difference between the term births and abortions 14.6±5.37mm vs. 21.4 ± 10.4mm respectively p=0,002 .Conclusion: Distances of the chorion and decidua basalis to uterine serosa, measured in the various sections and directions, could be evaluated as parameters to be used in predicting the poor pregnancy outcomes.

References

  • Yeh HC, Goodman JD, Carr L, Rabinowitz JG. Intradecidual sign: a US criterion of early intrauterine pregnancy. Radiology 1986; 161: 463–467.
  • Norwitz ER. Defective implantation and placentation: laying the blueprint for pregnancy complications. Reprod Biomed Online 2006; 13: 591–599.
  • Friedler S, Schenker JG, Herman A, Lewin A. The role of ultrasonography in the eva- luation of endometrial receptivity following assisted reproductive treatments: a critical review. Hum Reprod Update 1996; 2: 323–335.
  • Kovacs P, Matyas S, Boda K, Kaali SG. The effect of endometrial thickness on IVF/ICSI outcome. Hum Reprod 2003;18: 2337–2341.
  • Wong HS, Cheung YK, Tait J. Sonographic study of the decidua basalis in the first tri- mester of pregnancy. Ultrasound Obstet Gynecol 2009; 33: 634–637.
  • Madazlı R, Uludağ S, Şen C, Ocak V, Erken gebelikte transvaginal ultrasonografi. Perina- toloji Dergisi 1993; 1: 155–58. 7. Coulam CB, Britten S, Soenksen DM, Early (34–56 days from LMP) ultrasonographic measurement in normal pregnancies. Hum Reprod 1996: 11;1771- 74.
  • Britten S, Soenksen DM, Bustillo M, Coulam CB. Very early embriyonic heart rate in normal pregnancies. Human Reprod 1994; 9: 2424–26.
  • Cacciatore B, Thtinen A, Stenman UK, et al. Normal early pregnancy: serum beta hCG and endovaginal ultrasonography findings. Br J Obst Gynecol 1990; 97: 899.
  • Merchiers EH, Dhont M, De Sutter PA, Cathy JB. Predictive value of early embryonic cardiac activity for pregnancy outcome. Obstet Gynecol 1991; 165; 11–14.
  • Acharya G, Morgan H. Does gestational sac volume predict the outcome of missed miscarriage managed expectantly 2002; 30: 526–31.
  • Cooperberg PL, Bernard KG. Sonographic differentiation between blighted ovum and early viable pregnancy. AJR 1985; 597–02.
  • Stampone C, Nicotra M, Muttinelli C, Cosmi V; Transvaginal sonography of yolk sac in normal and abnormal pregnancy; J Clin Ultrasound 1996: 24; 3 -9.

Erken Gebelik Kesesinin Ultrasonografik Olarak Değerlendirilmesi ve Gebelik Sonuçları ile İlişkisi

Year 2014, Volume: 11 Issue: 4, 133 - 135, 01.10.2014

Abstract

Amaç: Gebelikte, tanısal amaçlı ultrasonografi kullanımının bir parçası olarak yapılan ölçümler, gebeliğin normal limitlerini belirlemede önem arz etmektedir. Çalışmamızda sonografik olarak erken gebelik haftalarındaki desidua basalis ve koryonun uterin serozaya olan uzaklıkları karşılaştırıldı. Bu ölçümlerin uterin serozaya olan uzaklıklarının gebelik prognozu üzerine olan etkileri araştırıldı.Gereç ve Yöntemler: 4 hafta 0 gün ve 12 hafta 6 gün arasında gebeliği bulunan 50 hasta ultrasonografi ile değerlendirildi. Bu vakaların gebelik sonuçları ve perinatal sonuçları hastane kayıtlarından araştırıldı. Desiduanın ve koryonun fundal uterin serozaya ve yan duvarların serozasına olan uzaklıkları sagittal ve transvers planlarda ölçüldü.Sonuçlar: Tranvers kesitlerde, term doğum ile desidua- yan duvar seroza mesafesi ölçümleri arasında pozitif korelasyon mevcut idi r=0.541, p=0.002 . Sagittal kesitlerde fundal koryon-seroza duvar kalınlıklarında miad doğumlar ile abort yapanlar arasında da anlamlı bir fark saptanmıştır sırasıyla 14,6±5.37 mm ile 21.4±10.4 mm p=0,002 .Tartışma: Kötü prognoz ile sonuçlanabilecek gebeliklerde desidua basalis ve koryonun uterin serozaya çeşitli kesit ve yönlerde olan uzaklıkları, ileride kullanılabilecek parametreler olarak değerlendirilebilinir.

References

  • Yeh HC, Goodman JD, Carr L, Rabinowitz JG. Intradecidual sign: a US criterion of early intrauterine pregnancy. Radiology 1986; 161: 463–467.
  • Norwitz ER. Defective implantation and placentation: laying the blueprint for pregnancy complications. Reprod Biomed Online 2006; 13: 591–599.
  • Friedler S, Schenker JG, Herman A, Lewin A. The role of ultrasonography in the eva- luation of endometrial receptivity following assisted reproductive treatments: a critical review. Hum Reprod Update 1996; 2: 323–335.
  • Kovacs P, Matyas S, Boda K, Kaali SG. The effect of endometrial thickness on IVF/ICSI outcome. Hum Reprod 2003;18: 2337–2341.
  • Wong HS, Cheung YK, Tait J. Sonographic study of the decidua basalis in the first tri- mester of pregnancy. Ultrasound Obstet Gynecol 2009; 33: 634–637.
  • Madazlı R, Uludağ S, Şen C, Ocak V, Erken gebelikte transvaginal ultrasonografi. Perina- toloji Dergisi 1993; 1: 155–58. 7. Coulam CB, Britten S, Soenksen DM, Early (34–56 days from LMP) ultrasonographic measurement in normal pregnancies. Hum Reprod 1996: 11;1771- 74.
  • Britten S, Soenksen DM, Bustillo M, Coulam CB. Very early embriyonic heart rate in normal pregnancies. Human Reprod 1994; 9: 2424–26.
  • Cacciatore B, Thtinen A, Stenman UK, et al. Normal early pregnancy: serum beta hCG and endovaginal ultrasonography findings. Br J Obst Gynecol 1990; 97: 899.
  • Merchiers EH, Dhont M, De Sutter PA, Cathy JB. Predictive value of early embryonic cardiac activity for pregnancy outcome. Obstet Gynecol 1991; 165; 11–14.
  • Acharya G, Morgan H. Does gestational sac volume predict the outcome of missed miscarriage managed expectantly 2002; 30: 526–31.
  • Cooperberg PL, Bernard KG. Sonographic differentiation between blighted ovum and early viable pregnancy. AJR 1985; 597–02.
  • Stampone C, Nicotra M, Muttinelli C, Cosmi V; Transvaginal sonography of yolk sac in normal and abnormal pregnancy; J Clin Ultrasound 1996: 24; 3 -9.
There are 12 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Aybike Tazegül Pekin

Ayşe Gül Kebapçılar This is me

Özlem Seçilmiş Kerimoğlu This is me

Setenay Arzu Yılmaz This is me

Berat Berrin Gençoğlu Bakbak This is me

Nasuh Utku Doğan This is me

Çetin Çelik This is me

Publication Date October 1, 2014
Published in Issue Year 2014 Volume: 11 Issue: 4

Cite

Vancouver Tazegül Pekin A, Kebapçılar AG, Seçilmiş Kerimoğlu Ö, Yılmaz SA, Gençoğlu Bakbak BB, Doğan NU, Çelik Ç. Erken Gebelik Kesesinin Ultrasonografik Olarak Değerlendirilmesi ve Gebelik Sonuçları ile İlişkisi. JGON. 2014;11(4):133-5.