First Trimester Pregnancy Loss Detection Using Ultrasound among Sudanese Women

Objectives: The aims of the study were to review the value of ultrasound in evaluating the vaginal bleeding and early pregnancy miss and to point a related abnormalities. The problem of early pregnancy failure extends to the family and its economic status. Materials and Methods: This study was carried out during 2009-2010. A total of 90 patients were investigated by ultrasound machine across different Hospitals Department of ultrasound Radiology Khartoum State, Sudan. Result: The study revealed that the distribution of the patients according to different types of early pregnancy failure of abortion signified as In Complete, Complete, Threaten, Missed, Blighted ovum, Molar Pregnancy and Ectopic Pregnancy; 50 %, 22.2 %, 8.9 %, 12.2 %, 3.3 %, 1.1 % and 2.2 % respectively. The vaginal bleeding was the most detectable symptoms related to early pregnancy failure 82.2 %, followed by pelvic pain 11.1 %, vomiting 5.6 % and abdominal pain 1.1 %. Passive smoking and alcohol consumption contribute 44.4 % and 3.3 %, respectively. Hypertension was higher caused by early pregnancy failure 44.4 %, followed by uncontrolled diabetes mellitus 38.9 % and allergic 16.7 %. The Incidence of visible gestational sac was 27.8 % and invisible gestational sac 72.2 %. in addition to that, the shape of visible gestational sacs distributed as normal 17.8 % and abnormal 15.2 % but the size of visible gestational sacs distributed as normal 17.8 %, abnormal 15.2 %. Conclusion: Most common type of early pregnancy failure is an incomplete abortion and the least common types are a molar pregnancy. The study showed that ultrasound is an easy and accurate in the diagnosis of early pregnancy failure.