Ultrasound assessment of first-trimester bleeding

Charles W. Schauberger, Michelle A Mathiason, Brenda L. Rooney

Research output: Contribution to journalReview articlepeer-review

21 Scopus citations

Abstract

OBJECTIVE: To assess the outcome (to the end of the first trimester) of pregnancies with vaginal bleeding and the influence of ultrasound-acquired information on care and cost of care. METHODS: A chart review was performed of 1,240 patients receiving care at an integrated medical center for threatened abortion from 1998-2000. Records from 715 patients with adequate follow-up data were reviewed and outcomes studied. Charges for outpatient and inpatient care were obtained from the data warehouse. RESULTS: Main findings include that on endovaginal ultrasonography, 44% of the pregnancies were viable, of which 86% continued to the end of the first trimester and that of the 33% of pregnancies that were nonviable, 74% successfully miscarried without intervention. Charges for the care varied significantly, based on outcome and choice of site of care. CONCLUSION: Endovaginal ultrasonography for the evaluation of early pregnancy bleeding has a significant effect on care decisions and costs.

Original languageEnglish (US)
Pages (from-to)333-338
Number of pages6
JournalObstetrics and gynecology
Volume105
Issue number2
DOIs
StatePublished - Feb 1 2005
Externally publishedYes

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