Abstract

Ultrasound supports the differentiation into threatened, incomplete or complete abortion and shows the way to appropriate clinical management. About 30to 40% of pregnancies fail after implantation, but 10-15% manifest with clinical symptoms. Vaginal bleeding in first trimester may as well be symptom for a variety of other causes of early pregnancy pathologies such as missed abortion, blighted ovum and ectopic pregnancy. A detailed clinical examination including complete general physical examination, pelvic examination and ultrasound examination was done to arrive at a diagnosis. Data was collected in a preformed proforma. Clinical diagnosis and ultrasound findings were correlated. Analysis was based on proportions, chi- square test and unpaired t tests. Out of 100 cases, 39cases were managed conservatively as ultrasound showed viable pregnancy, 57 cases underwent instrumental evacuation as they were non-viable and 1case underwent Laparotomy and 1 case no follow up.

Description