First-trimester ultrasonography findings in women with a history of recurrent pregnancy loss.

Abstract:

OBJECTIVE:We tabulated first-trimester ultrasonography findings in women with recurrent pregnancy loss and determined the rate of subsequent pregnancy loss and live births after demonstration of a live embryo. STUDY DESIGN:Sixty-seven women with three or more recurrent miscarriages underwent first-trimester ultrasonography and were prospectively followed through 101 pregnancies. RESULTS:First-trimester ultrasonography showed a dead embryo in seven pregnancies. Two of gestational sac in 12, and an empty uterus in four. A live embryo was seen in 78 pregnancies. Two of these pregnancies were terminated because of fetal chromosomal abnormalities. Of the remaining 76 pregnancies, 13 (17%) ended in a fetal loss (spontaneous abortion or fetal death) and 63 (83%) resulted in viable live births. CONCLUSIONS:Among women with recurrent pregnancy loss the presence of a live embryo detected by first-trimester ultrasonography is not as encouraging as in normal pregnant women. These findings are useful in counseling patients with recurrent pregnancy loss.

journal_name

Am J Obstet Gynecol

authors

van Leeuwen I,Branch DW,Scott JR

doi

10.1016/s0002-9378(12)90896-0

subject

Has Abstract

pub_date

1993-01-01 00:00:00

pages

111-4

issue

1 Pt 1

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(12)90896-0

journal_volume

168

pub_type

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