Is trophoblastic thickness at the embryonic implantation site a new sign of negative evolution in first trimester pregnancy?
Author(s) -
José Bajo,
Francisco Javier MorenoCalvo,
Luis Martinez-Cortes,
F.J. Haya,
J. Rayward
Publication year - 2000
Publication title -
human reproduction
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.446
H-Index - 226
eISSN - 1460-2350
pISSN - 0268-1161
DOI - 10.1093/humrep/15.7.1629
Subject(s) - pregnancy , abortion , obstetrics , medicine , predictive value , gynecology , prospective cohort study , placental site trophoblastic tumor , gestational age , gestation , first trimester , fetus , biology , placenta , genetics
In this study a new sign to evaluate the evolution of pregnancy is described: the trophoblastic thickness at the embryonic implantation site. A prospective, observational study of 592 normal pregnancies with no known risk factors was carried out from January 1998 to February 1999. Serial ultrasound scans were performed from week 5 to week 12 of pregnancy. Trophoblastic thickness was measured at the embryonic implantation site to determine the significance of a difference in gestational age in weeks and a trophoblastic thickness of >/=3 mm in predicting poor prognosis in pregnancy outcome. The sensitivity of this sign in the prediction of spontaneous abortion was 82%, the specificity was 93%, the positive predictive value was 63% and the negative predictive value was 97%.
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