Ultrasonographic Assessment of Retroverted Gravid Uterus and First Trimester Pregnancy loss of women in a semi-urban area of Dhaka, Bangladesh

Abstract

Ultrasonography is a safe and effective method of diagnosing early pregnancy and determining the position of the gravid uterus. In our study, 2080 pregnant women with amenorrhea for three months and a positive pregnancy test were chosen. The study was conducted in the Radiology & Imaging department of Failaria & General Hospital from Jan 2016 to Dec 2019. Descriptive statistics were used to compute percentages and averages. Results were presented in tables and charts and expressed as percentages/proportions, means and average. The objective of our study is to investigate the Sonographic findings of first trimester pregnancies detecting the retroverted gravid uterus, normal, abnormal and complicated pregnancies. In the present study out of 2080 pregnancies, we found uterus retroverted in about 7% of women and only one case of acute retention of urine due to retroverted gravid uterus. Here, the majority of pregnant women were 20-24 years of age, which is 980 (47.12%) and 150 (7.21%) women pregnant at the age of over 35 years. In our study, 190 (9.13%) of the 2080 pregnancies with sonographic diagnosis were fetal losses. The diagnosis of early normal intrauterine pregnancy (IUP) was 1890 (90.87%), Incomplete abortion 95 (4.57%), Missed abortion 35 (1.68%), Blighted ovum 39 (1.88%), ectopic pregnancy 14 (0.67%) and Hydatiform mole 7 (0.34%) cases. If urinary retention due to retroverted gravid uterus, abnormal and complicated pregnancies are diagnosed early and treated properly, it can reduce maternal morbidity and mortality.