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When uterus sonography is needed in preconception consult?
Safora Roholamin, Azar Danesh Shahraki, Mahboobe Esteki
Department of Obstetrics and Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
| Date of Web Publication | 29-Jun-2013 |
Correspondence Address:
Azar Danesh Shahraki
Department of Obstetrics and Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan
Iran
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/2277-9175.114176
How to cite this article:
Roholamin S, Shahraki AD, Esteki M. When uterus sonography is needed in preconception consult?. Adv Biomed Res 2013;2:43 |
Preconception consulting following goals for improving mothers' health and prevent or minimize recurrent adverse out comes. The center for disease control and prevention defined preconception care as a set of intervention that in to identify and modify biomedical, behavioral, and social risks to a woman's health or pregnancy outcome through prevention and management. Preconception evaluation and consulting causes and opportunity to inform women about fertility and pregnancy outcome, for diagnosis of some risks of pregnancy for the mother and fetus, educated them about these risks, and institute appropriate intervention, when possible, before conception. [1]
After management of serious dangerous conditions to one pregnant woman, we have challenge with this question, when sonography is necessary in preconception consult?
A 21-year-old woman, who was 20 weeks pregnant referred to Shahid Beheshti hospital in severe hemorrhagic shock state. Without peripheral pulse rate and Carotid pulse rate: 140/min systolic blood pressure: 45 mmHg. She was so paled and confused. There was no sign and symptom of accident and trauma, but her abdomen was severely tender and broad like in examination. Also, we did not found vaginal bleeding or leak. The emergency laparatomy was done and we encounter to ruptured blind horn pregnancy. The fetus (be seems 20 weeks) was floating in abdominal cavity between intestinal loop, with approximately 4 liter blood and clot, we removed uterian horn. Bimanual vaginal examination have very important role in preconception consult, if a pelvic mass is present, pelvic ultrasonography should be performed for differential diagnosis. Uterus anomalies and new laparoscopy management was reported. [2],[3] Uterine anomalies can be associated with recurrent pregnancy wastage, preterm birth, ectopic pregnancy, intrauterine growth restriction, congenital anomaly and prenatal death. In some cases, interventions to reduce or eliminate the risk of recurrence are available. [4]
| References | |  |
| 1. | Johnson K, Posner SF, Biermann J, Cordero JF, Atrash HK, Parker CS, et al. Recommendations to improve preconception health and health care−United States. A report of the CDC/ATSDR Preconception Care Work Group and the Select Panel on Preconception Care. MMWR Recomm Rep 2006;55:1-23. 
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| 2. | Singhal S, Agarwal U, Sharma D, Sirohiwal D. Pregnancy in asymmetric blind hemicavity of Robert, uterus: A previously unreported phenomenon. Eur J Obstet Gynecol Reprod Biol 2003;107:93-5.
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| 3. | Kadan Y, Romano S. Rudimentary horn pregnancy diagnosed by ultra sound and treated by laparoscopy: A case report and review of literature. J Minim Invasive Gynecol 2008;15:527-30.
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| 4. | Stubblefield PG, Coonrod DV, Reddy UM, Sayegh R, Nicholson W, Rychlik DF, et al. The clinical content of preconception care: Reproductive history. Am J Obstet Gynecol 2008;199:S373-83.
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