ROLE OF UTERINE SHAPE AND VOLUME ABNORMALITIES IN RECURRENT PREGNANCY LOSS (RPL)

Abstract

Background: Certain uterine factors like bicornuate, unicornuate and septate uterus being prime examples are more predictably associated and repeated pregnancy loss. These can be accurately investigated by HSG, 2D Transabdominal Sonography and Transvaginal Sonography.

Methodology: The present study is a cross-sectional study conducted on the patients of Recurrent Pregnancy Loss (RPL) with history of two or more abortion with no live issue coming to the Outdoor Patient Department (OPD) of Sheth K.M.School of Post Graduate Medicine and Research, Ahmedabad. The study was based on the interview consisting of preformed questionnaire with the cases of RPL followed by the detail investigation by hysterosalpingography (HSG), 2D ultrasonography (Transabdominal Sonography (TAS) and Transvaginal Sonography (TVS)).

Results: It was found that 11.8% of the cases of RPL were due to uterine malformations. Decrease in the uterine volume was observed in 3 out of 35 cases of RPL patients. HSG and 2D TVS were correctly able to diagnose all the 4 cases of uterine malformations.

Conclusion: It is concluded that 10 percent of our cases of recurrent pregnancy loss are due to uterine malformations. HSG and 2D TVS has equal sensitivity in detecting uterine malformations.