Accuracy of first-trimester ultrasound in the diagnosis of early embryonic demise: A systematic review

Ultrasound in Obstetrics and Gynecology

Volumn 38, Issue 5, 2011, Pages 489-496

  Jeve, Y ^a   Rana, R ^b   Bhide, A ^b   Thangaratinam, S ^c  

^a LEICESTER GENERAL HOSPITAL   (United Kingdom)

^b ST GEORGE'S UNIVERSITY OF LONDON   (United Kingdom)

^c QUEEN MARY UNIVERSITY OF LONDON   (United Kingdom)

Author keywords

Crown rump length; Fetal cardiac activity; Gestational sac; Miscarriage; Pregnancy loss; Study quality; Yolk sac

Indexed keywords

ANIMAL EMBRYO; ECHOGRAPHY; FEMALE; FETUS DEATH; FETUS ECHOGRAPHY; FETUS HEART; FIRST TRIMESTER PREGNANCY; GESTATIONAL SAC; HUMAN; PREDICTIVE VALUE; PREGNANCY; PRENATAL DEVELOPMENT; REVIEW; SENSITIVITY AND SPECIFICITY; STANDARD;

EMBRYO, MAMMALIAN; FEMALE; FETAL DEATH; FETAL HEART; GESTATIONAL SAC; HUMANS; PREDICTIVE VALUE OF TESTS; PREGNANCY; PREGNANCY TRIMESTER, FIRST; REFERENCE STANDARDS; SENSITIVITY AND SPECIFICITY; ULTRASONOGRAPHY, PRENATAL;

EID: 83455261050     PISSN: 09607692     EISSN: 14690705     Source Type: Journal    
DOI: 10.1002/uog.10108     Document Type: Review

References (18)

1. Elson J, Salim R, Tailor A, Banerjee S, Zosmer N, Jurkovic D. Prediction of early pregnancy viability in the absence of an ultrasonically detectable embryo. Ultrasound Obstet Gynecol 2003; 21: 57-61. (Pubitemid 36831240)
2. Wilcox AJ, Weinberg CR, O'Connor JF, Baird DD, Schlatterer JP, Canfield RE, Armstrong EG, Nisula BC. Incidence of early loss of pregnancy. N Engl J Med 1988; 319: 189-194.
3. Hately W, Case J, Campbell S. Establishing the death of an embryo by ultrasound: report of a public inquiry and recommendations. Ultrasound Obstet Gynecol 1995; 5: 353-357.
4. Laing F, Mendelson E, Böhm-Vélez M, Bree R, Finberg H, Fishman EK, Hricak H, Sartoris D, Thurmond A, Goldstein S. First trimester bleeding. American College of Radiology. ACR Appropriateness Criteria. Radiology 2000; 215: (Suppl): 879-893.
5. Royal College of Radiologists, Royal College of Obstetricians and Gynaecologists. Guidance on Ultrasound Procedures in Early Pregnancy. RCR/RCOG: London, 1995.
6. The association of Early Pregnancy Units. AEPU organisational, clinical and supportive guidelines, 2007; http://www.early.pregnancy.org.uk [Accessed 15 September 2011].
7. The Society of Obstetricians and Gynaecologists of Canada. Ultrasound evaluation of first trimester pregnancy complications. SOGC Clinical Practice Guidelines, Number 161, June 2005. SOGC: Ottawa, 2005.
8. Egger M, Davey Smith G, Altman DG. Principles of and procedures for systematic reviews. Systematic Reviews in Health Care: Meta-Analysis in Context, 2nd edn. BMJ Books: London, 2001; 23-42.
9. Zamora J, Abraira V, Muriel A, Khan K, Coomarasamy A. Meta-DiSc: a software for meta-analysis of test accuracy data. BMC Med Res Methodol 2006; 6: 31.
10. Nyberg DA, Laing FC, Filly RA. Threatened abortion: sonographic distinction of normal and abnormal gestation sacs. Radiology 1986; 158: 397-400. (Pubitemid 16160602)
11. Scott RF, Featherstone T, Hussey JK. Ultrasound of the empty gestation sac in threatened abortion. Clin Radiol 1987; 38: 127-130. (Pubitemid 17036661)
12. Ismail AA, Kishk SM. Empty gestational sacs diagnosed by abdominal real-time ultrasonography. Eur J Obstet Gynecol Reprod Biol 1991; 42: 205-209.
13. Tongsong T, Wanapirak C, Srisomboon J, Sirichotiyakul S, Polsrisuthikul T, Pongsatha S. Transvaginal ultrasound in threatened abortions with empty gestational sacs. Int J Gynaecol Obstet 1994; 46: 297-301. (Pubitemid 24273272)
14. Nyberg DA, Mack LA, Laing FC, Patten RM. Distinguishing normal from abnormal gestational sac growth in early pregnancy. J Ultrasound Med 1987; 6: 23-27. (Pubitemid 17005965)
15. Levi CS, Lyons EA, Lindsay DJ. Early diagnosis of non-viable pregnancy with endovaginal ultrasound. Radiology 1988; 167: 383-385.
16. Levi CS, Lyons EA, Zheng XH, Lindsay DJ,Holt SC. Endovaginal US: Demonstration of cardiac activity in embryos less than 5.0 mm in crown-rump length. Radiology 1990; 176: 71-74. (Pubitemid 20208110)
17. Goldstein SR. Significance of cardiac activity on endovaginal ultrasound in very early embryos. Obstet Gynecol 1992; 80: 670-672.
18. Pewsner D, Battaglia M, Minder C, Marx A, Bucher HC, Egger M. Ruling a diagnosis in or out with "SpPIn" and "SnNOut": a note of caution. BMJ 2004; 329: 209-213. (Pubitemid 39013280)