Importance of beta hcg levels in first trimester vaginal bleeding

Conclusion: We concluded that serial ßhCG investigations made in following 48 hours is a valuable investigation in predicting normal pregnancies in first trimester pregnancies with vaginal bleeding.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: To investigate the prognostic value of ßhCG levels taken in following 48 hours in first trimester pregnancies with vaginal bleeding.

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Key Findings & Data:Material and Methods: Clinically diagnosed 13 cases with imminent abortion, 16 cases with incomplete abortion, 11 cases with missed abortion, 10 cases with ectopic pregnancy included in the study groups.

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Conclusion & Impact:Conclusion: We concluded that serial ßhCG investigations made in following 48 hours is a valuable investigation in predicting normal pregnancies in first trimester pregnancies with vaginal bleeding.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Gebelik trimester · birinci · Tanı teknikleri

Abstract

Objective: To investigate the prognostic value of ßhCG levels taken in following 48 hours in first trimester pregnancies with vaginal bleeding. Material and Methods: Clinically diagnosed 13 cases with imminent abortion, 16 cases with incomplete abortion, 11 cases with missed abortion, 10 cases with ectopic pregnancy included in the study groups. Fifteen cases with normal first trimester pregnancies accepted as the control group. Elevations in ßhCG levels in two separate samples at 48 hours apert and prognosis of the pregnancies are investigated. Results: Elevations in ßhCG levels in two separate samples at 48 hours apart was 7.93% in normal pregnancies, 72.82% in imminent abortions, 20.60% in incompleted abortions. ßhCG levels were decreased in missed abortion and ectopic pregnancy groups. If normal increase in ßhCG levels is accepted at a cut off 66%, sensitivity was 36/37(97.3%) and spesivity was 28/28 (100%) in the diagnosis of normal pregnancies. Conclusion: We concluded that serial ßhCG investigations made in following 48 hours is a valuable investigation in predicting normal pregnancies in first trimester pregnancies with vaginal bleeding.

Özet

Amaç: Birinci trimesterde vaginal kanaması olan gebelerde 48 saat arayla alınan ßhCG ölçümlerinin prognostik önemini araştırmak. Gereç ve Yöntem: Klinik olarak tanısı konan abortus imminensli 13, abortus inkompletuslu 16, missed abortus tanılı 11 ve ektopik gebelik saptanan 10 olgu çalışma gruplarını oluşturdu. Onbeş sağlıklı gebe kontrol grubu olarak incelendi. Tüm olguların 48 st ara ile alınan ßhCG ölçümlerindeki artış oranları ile prognozları incelendi. Bulgular: Kırksekiz saat ara ile alınan ßhCG değerlerinin sağlıklı gebelerde %67.93, abortus imminens grubunda %72.82, abortus inkompletus grubunda %20.60'lık bir artış oranı saptanırken, missed abortus ve ektopik gebeliklerde azalma tespit edildi. %66'lık artış oranı sağlıklı kabul edilirse bu değer artışının sağlıklı gebelik prognozunu saptamada sensitivitesi 36/37 (%97.3), spesifitesi 28/28 (%100) olarak saptandı. Sonuç: Birinci trimesterde vaginal kanaması olan gebelerde 48 saat arayla alınan ßhCG değerlerindeki artışın sağlıklı ve patolojik gebelikleri ayırmada oldukça yaralı olduğu kanaatına varıldı.

Keywords

Gebelik trimester birinci Tanı teknikleri kadın doğum ve kadın hastalıkları Seyir Korionik gonadotropin beta subunit insan Pregnancy Trimester First Diagnostic Techniques Obstetrical and Gynecological Prognosis Chorionic Gonadotropin beta Subunit Human

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Cite This Article

CİVAŞ, S. B., TANER, C. E., HORASAN, A. F., İMREN, A., EGE, A., DERİN, G. (2003). Importance of beta hcg levels in first trimester vaginal bleeding. Medical Network Klinik Bilimler ve Doktor, Cilt: 9 - Sayı: 2, 198–202. https://ajindex.com/articles/279154

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