Purpose: Missed abortion is a common obstetrical problem with a high
incidence. Evidence supports a change in approach from the traditional dilatation
and curettage to medical; however, few studies have investigated the prediction
success of the medical approach. This study investigates whether first trimester
missed abortion can be successfully terminated using Doppler indices, such as
resistance index (RI) and pulsatility index (PI), as predictors. Material
and Method: In this prospective study, the sample is made up of 78 patients,
with a first trimester missed abortion range of 6-13 weeks of pregnancy
who meets the maternal parameters as well as transvaginal Doppler indices,
RI and PI. The participants were subdivided into 3 groups based on their response
to sublingual misoprostol and weeks needed to terminate as Groups I (43/78), II
(26/78), and III (9/78) aborted in the first, second, and third weeks,
respectively. Results: Age, BMI, and gestational age of dead fetus were
not significant for Groups I, II, and III with P = 0.13, P =
0.13, and P = 0.35, respectively. Parity and delivery mode showed
significant differences (P
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To operate or to wait? Doppler indices as predictors for medical termination for first trimester missed abortion
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1
Department of Obstetrics and Gynecology, College of Medicine, Al-Mustansiriyah University, 10052 Iraq
2
Department of Radiology, College of Medicine, Al-Mustansiriyah University, 10052 Iraq
3
Ministry of Education, Directorate of Education Thi-Qar, Thi-Qar, 64001 Iraq
4
College of Health and Medical Technology, Al-Ayen University, Thi-Qar, 64001 Iraq
5
Consultant Obstetrician and Gynecologist, AL-Yarmook Teaching Hospital, 10015 Iraq
*Correspondence: alibadr205@gmail.com; dr.ali_bader@alayen.edu.iq (Ali B Roomi)
Clin. Exp. Obstet. Gynecol. 2021, 48(1), 168–174;
https://doi.org/10.31083/j.ceog.2021.01.2215
Submitted: 8 July 2020 | Revised: 11 September 2020 | Accepted: 17 September 2020 | Published: 15 February 2021
Copyright: © 2021 The Authors. Published by IMR Press.
This is an open access article under the CC BY 4.0 license (https://creativecommons.org/licenses/by/4.0/).
Abstract
Keywords
Missed abortion
First trimester
Misoprostol
Doppler
Resistance index
Pulsatility index
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