OBJECTIVE To determine whether routine measurement of second-trimester transvaginal cervical length by ultrasound in low-risk singleton pregnancies is a cost-effective strategy. METHODS We developed a decision analysis model to compare the cost-effectiveness of two strategies for identifying pregnancies at risk for preterm birth: (1) no routine cervical length screening and (2) a single routi...

OBJECTIVE To identify non-invasive tools for diagnosis of the major potentially life-threatening gynaecological emergencies (G-PLEs) reported in previous studies, and to assess their diagnostic accuracy. METHODS MEDLINE; EMBASE; Cochrane Central Register of Controlled Trials (CENTRAL; The Cochrane Library) were searched to identify all eligible studies published in English or French between J...

Objective: To review the use of transvaginal ultrasound for the diagnosis of placenta previa and recommend management based on accurate placental localization. Options: Transvaginal sonography (TVS) versus transabdominal sonography for the diagnosis of placenta previa; route of delivery, based on placenta edge to internal cervical os distance; in-patient versus out-patient antenatal care; cercl...

Background: The first trimester begins on the day of last menstrual period (LMP) and lasts until end 12 weeks gestation. Transvaginal ultrasound is modality choice for establishing presence an intrauterine pregnancy in trimester. focus our study routine early ultrasound. purpose this was to diagnose various conditions at stage by using ultrasound.Methods: We conducted retrospective data analysi...

Our purpose was to compare the ultrasound visualization of the early first-trimester embryo using transvaginal and intrauterine sonography. In all, 32 women about to undergo therapeutic abortion at 6-8.9 weeks gestation were studied using a specially developed catheter-based, high-resolution, real-time miniature (2.4 mm outer diameter) ultrasonography transducer (20 MHz). Before the intrauterin...

Lower abdominal pain in females of reproductive age continues to be a diagnostic dilemma for the emergency physician (EP). Point-of-care ultrasound (US) allows for rapid, accurate, and safe evaluation of abdominal and pelvic pain in both the pregnant and non-pregnant patient. We present 3 cases of females presenting with right lower quadrant and adnexal tenderness where transvaginal ultrasonogr...

treatment (HT), while in the next sentence the number of cases receiving HT reached 31 cases. It seems reasonable that the patients were advised to withdraw from using any hormonal substance, and that is the third prerequisite for randomization. In addition, the use of estrogenic compounds should cease before any elective surgery in order to avoid thromboembolic accidents.More usefully, they co...

Twin pregnancy in the mare causes economic loss. Early transrectal ultrasonographic detection of twins and manual crush of one embryonic vesicle is the method of choice for managing equine twins (90% success rate). Transcutaneous and transvaginal ultrasound-guided twin reduction techniques are described for twin pregnancies that advance beyond 25 days of gestation. Reported success rates for th...