Criterios para un diagnóstico con un elevado nivel de seguridad | 09 DIC 18

Aborto involuntario

Para definir el aborto involuntario, recientemente han cambiado los valores de corte para el tamaño del saco gestacional y del embrión. Estos cambios son apropiados y no demasiado conservadores, pero no tienen en cuenta edad de la gestación.
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Autor/a: Jessica Preisler, Julia Kopeika, Laure Ismail, Veluppillai Vathanan, Jessica Farren, Yazan Abdallah, Parijat Battacharjee, Caroline Van Holsbeke,6 Cecilia Bottomley, Deborah Gould, Susanne Johnson, Ca Fuente: BMJ 2015;351:h4579 doi: 10.1136/bmj.h4579 Defining safe criteria to diagnose miscarriage: prospective observational multicentre study
INDICE:  1.  | 2. Referencias
Referencias

1 Horrow MM, Andreotti RF, Lee SI, et al. Expert Panel on Women’s Imaging. ACR appropriateness criteria® first trimester bleeding. Am Coll Radiol 2009;6:235-41. www.excaliburmed.com/Portals/139802/docs/First%20Trimester%20Bleeding%206-12.pdf.
2 Royal College of Obstetricians and Gynaecologists. The management of early pregnancy loss. Green-Top Guideline No 25. RCOG Press, 2006.
3 Jeve Y, Rhana R, Bhide A, Thangaratinam S. Accuracy of first-trimester ultrasound in the diagnosis of early embryonic demise: a systematic review. Ultrasound Obstet Gynecol 2011;38:489-96.
4 Pexsters A, Luts J, Van Schoubroeck D, et al. Clinical implications of intra-and interobserver reproducibility of transvaginal sonographic measurement of gestational sac and crown-rump length at 6-9 weeks’ gestation. Ultrasound Obstet Gynecol 2011;38:510-5.
5 Abdallah Y, Daemen A, Kirk E, et al. Limitations of current definitions of miscarriage using mean gestational sac diameter and crown-rump length measurements: a multicenter observational study. Ultrasound Obstet Gynecol 2011;38:497-502.
6 Abdallah Y, Daemen A, Guha S. et al. Gestational sac and embryonic growth are not useful as criteria to define miscarriage: a multicenter observational study. Ultrasound Obstet Gynecol 2011;38:503-9.
7 Royal College of Obstetricians and Gynaecologists. Addendum to GTG No 25 (Oct). The management of early pregnancy loss. RCOG Press; 2011.
8 Newbatt E, Beckles Z, Ullman R, Lumsden MA, on behalf of the Guideline Development Group. Ectopic pregnancy and miscarriage: summary of NICE guidance. BMJ 2012;345:e8136.
9 Lane BF, Wong-You-Cheong JJ, Javitt MC, et al. ACR appropriateness criteria: first trimester bleeding. Ultrasound Q 2013;29:91-6.
10 Doubilet PM, Benson CB, Bourne T, Blaivas M. Diagnostic criteria for nonviable pregnancy early in the first trimester. Society of Radiologists in Ultrasound Multispecialty Panel on Early First Trimester Diagnosis of Miscarriage and Exclusion of a Viable Intrauterine Pregnancy. N Engl J Med 2013;369:1443-51.
11 Brown LD, Cai TT, DasGupta A. Interval estimation for a binomial proportion. Stat Sci 2001;16:101–17.
12 Davison AZ, Appiah A, Sana Y, Johns J, Ross JA. The psychological effects and patient acceptability of a test to predict viability in early pregnancy: a prospective randomised study. Eur J Obstet Gynecol Reprod Biol 2014;178:95-9.
13 Bottomley C, Van Belle V, Pexsters A, et al. A model and scoring system to predict outcome of intrauterine pregnancies of uncertain viability. Ultrasound Obstet Gynecol 2011;37:588-95.
14 Westin M, Källén K, Saltvedt S, Almström H, Grunewald C, Valentin L. Miscarriage after a normal scan at 12-14 gestational weeks in women at low risk of carrying a fetus with chromosomal anomaly according to nuchal translucency screening. Ultrasound Obstet Gynecol2007;30:728-36.
15 Rowling SE, Coleman BG, Langer JE, Arger PH, Nisenbaum HL, Horii SC. First-trimester US parameters of failed pregnancy. Radiology 1997;203:211-7.
16 Fletcher JL Jr. Update on pregnancy testing. Prim Care 1986;13:667-77.
17 Bottomley C, Van Belle V, Mukri F et al. The optimal timing of an ultrasound scan to assess the location and viability of an early pregnancy. Hum Reprod 2009;24(8):1811-7.
18 Hu M, Poder L, Filly RA. Impact of new society of radiologists in ultrasound early first-trimester diagnostic criteria for nonviable

pregnancy. Ultrasound Med J 2014;33:1585-8.

 

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