Uterine and Subendometrial Arteries Doppler in Patients with Recurrent First Trimestric Abortion

Abstract

Background: Unexplained Recurrent miscarriage remains a frustrating problem for the clinician and a distressing condition for the affected couple. Recurrent pregnancy loss is defined as three or more successive spontaneous abortion. The incidence of recurrent pregnancy loss is 1-2% in the fertile population. Aim of the Work: This study aimed to find out any difference in uterine artery pulsitility index (PI) between women with history of recurrent unexplained first trimestric abortion and women without this history. Patients and Methods: One hundred cases from Al-Azhar University Hospitals (Al-Hussein and Sayed Galal)were included in the study and classified into two groups: Recurrent pregnancy loss (RPL) group: 50 cases with history of recurrent unexplained abortion.Control group: 50 cases with no history of abortion and one full term child at least. Uterine artery Doppler [Pulsatility Index (PI)] assessment was done to all patients in the study during the luteal phase of spontaneous menstrual cycle. Results: PI in the RPL group was found to be elevated compared to the control group. Conclusion: Assessment of uterine perfusion through measurement of uterine artery Doppler (PI) could be of value in cases with recurrent unexplained first trimestric abortion