First Trimester Ultrasound's Predictive Power for Early Pregnancy Failure in Pakistan: A Single Center Study

Abstract

Objective: This early prediction of pregnancy failure will assist clinicians in counseling patients and deciding on the frequency of follow-up ultrasound examinations.

Study Design: A retrospective single-center research study

Place and Duration of Study: This study was conducted at the Department of Radiology KTH Hospital Peshawar between January 2016 and January 2017.

Materials and Methods: At the Department of Radiology, KTH Hospital, Peshawar, a retrospective single-center research involving 235 pregnant women was carried out between January 2016 and January 2017. The gestational ages of the ladies ranged from 6 to 16 weeks. To establish gestational age, fetal heart rate, and (CRL), our team employs ultrasound images. We evaluated the pregnancies of the patients at the 14th week of gestation. We used descriptive statistics in our analysis. Additionally, we examined the relationship between fetal heart rate and (CRL) and the likelihood of early pregnancy failure using chi-square testing.

Results: Fetal heartbeat (FHB) during first trimester ultrasonography was a reliable indicator of pregnancy failure in one research (p = 0.06). Failure probability rose by 3.7 in the absence of FHB. Notably, tiny (CRL) was still another factor (p=0.06) that predicted early pregnancy failure.

Conclusion: This research reveals that in Pakistan, early pregnancy failure may be predicted using first trimester ultrasonography. As a result, its usage need to be encouraged in Pakistan in order to lower the prevalence of early pregnancy failure. According to this research, promoting the usage of first-trimester ultrasound scans may lower the likelihood of early pregnancy failure. As a result, using this strategy may assist forecast early pregnancy failure and aid doctors in patient counseling and choosing how often to do follow-up ultrasounds.