Explore the pivotal study revealing the correlation between clinical and sonographic diagnoses in women experiencing first-trimester vaginal bleeding, shedding light on the importance of ultrasound in early pregnancy care.
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Correlation Between the Clinical Diagnosis and Sonographic Diagnosis in Women with First-Trimester Vaginal Bleeding.
Anajuba et al., Niger J Clin Pract 2024
<!– DOI: 10.4103/njcp.njcp_618_23 //–>
https://doi.org/10.4103/njcp.njcp_618_23
This study highlights the discrepancy between clinical assessments and ultrasonographic findings in diagnosing the cause of first-trimester vaginal bleeding. Conducted on 94 pregnant patients, it found that while 64.9% experienced spotting and 35.1% had heavy bleeding, the most common symptom associated was abdominal pain (72.3%). Fever was identified as the most frequent predisposing factor (33.0%). Clinically, threatened abortion was the most diagnosed condition (51.1%), whereas ultrasonography initially identified incomplete abortion (19.2%) as the most common, with threatened abortion becoming the most common in follow-up scans (51.1%). The study revealed a low overall concordance between clinical and ultrasound diagnoses (38.8%), with complete abortion and gestational trophoblastic disease (GTD) showing 100% concordance but missed abortions having the least concordance (25%). This underscores the necessity of integrating clinical assessment with ultrasonography for accurate diagnosis and management of first-trimester vaginal bleeding.