[Prognosis of decidual hematomas or ovular detachments discovered by echography during the 1st trimester of pregnancy].
A prospective study conducted over a period of 20 months revealed 76 cases of ovular detachment during the first trimester (0.9% of the obstetric ultrasound examinations performed during this period). In the 57 cases which were followed up, a poor outcome was observed essentially in the group of patients with a past gynaeco-obstetrical history (endometrial infection, intra-uterine operations). Factors of poor prognosis are therefore the presence of such a history, in particular patent endometrial infection immediately prior to the pregnancy in which the decidual haematoma is detected. The prognosis is not affected by the extent of the haematoma, nor its volume nor the length of time it persists.
D000022:Abortion, Spontaneous / Q000175:diagnosis; D005260:Female; D006409:Hematometra / Q000175:diagnosis*; D006801:Humans; D008796:Metrorrhagia / Q000175:diagnosis; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis*; D011261:Pregnancy Trimester, First; D011379:Prognosis; D014463:Ultrasonography
Pronostic des hématomes déciduaux ou décollements ovulaires de découverte échographique au premier trimestre de la grossesse.