Evaluation of Ultrasonography in Various Causes of Pelvic Pain in first Trimester of Pregnancy

Hussain, Amaani; Farooq, Syed Muhammad Yousaf; Qayyum, Sumera; Yousaf, M.; Hussain, SB; MZU, Abidin; Jalal, P; Arif, L; Ramzan, A.; Noor, H.; Suhail, M.; Ammar, SM

doi:10.53350/pjmhs2216929

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“…Pelvic or lower abdominal pain in pregnant women is a regular occurrence in emergency departments, urgent care centres, and outpatient office practices during the first trimester. Due to hormonal changes, fast uterine development, and increased blood flow, "cramps" pelvic discomfort is common in early pregnancy [1]. This soreness may be quite worrisome for primipara pregnant women in their first trimester, since women usually complain of pain and typical sonographic results [2].…”

Section: Introductionmentioning

confidence: 99%

Role of Ultrasonography in Evaluation of Various Causes of Pelvic Pain in First Trimester of Pregnancy

Waqar¹,

Ali²,

Khan³

et al. 2021

PJMHS

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Background and Aim: Acute pelvic pain during pregnancy can be challenging to identify and manage. Ultrasound is still the most often utilized imaging modality for pregnant and postpartum women. The present study aimed to evaluate the ultrasonography role in various causes of pelvic pain in first trimester of pregnancy. Patients and Methods: This descriptive cross-sectional study was carried out on 286 pelvic pain pregnant women of first trimester. It was conducted in the department of Radiology in collaboration with Obstetrics and Gynecology department of Jinnah Hospital, Lahore from March 2022 to November 2022. Pregnant women with pelvic pain during early pregnancy were enrolled. Patient’s demographic details i.e. age, gestational age, HC, molar pregnancy, CRL, Fibroid, FHR, and bleeding on ultrasound were recorded. Data analysis was done using SPSS version 27. . Results: The overall mean age of participants was 26.84±2.86 years (18 to 45 years). Patients distribution based on age were as follows: 76 (26.6%) in 18-25 years, 156 (54.5%) in 26-35 years, and 54 (18.9%) in 36-45 years. Out of the total 286 pregnant women, the prevalence of bleeding, fibroids, cyst, and ectopic pregnancy was 92 (32.2%), 42 (14.7%), 56 (19.6%), and 18 (6.3%) respectively. The prevalence of pelvic pain causes such as Corpus luteal cyst, Dermoid Cyst, Ectopic pregnancy, Intramural Fibroid, Submucosal Fibroid, and sub serosal fibroid was 38/54 (70.4%), 26/34 (76.5%), 22/28 (78.6%), 1/20 (5%), 4/10 (40%), and 1/22 (4.5%) respectively. Conclusion: Bleeding was the most dominant finding followed by cyst and fibroids in pregnant women with chronic pelvic pain during early pregnancy. Pelvic pain in the early pregnancy can be difficult to treat. In assessing these individuals, ultrasound is a critical imaging modality. Keywords: Pelvic pain, ultrasonography, causes, first trimester, pregnancy

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Section: Introductionmentioning

confidence: 99%