Braxton Hicks contractions

 

Braxton Hicks Contractions

• John Braxton Hicks, an English physician, first described it in 1871.
• Physiological myometrial contraction.
• Sporadic & usually starts at around 6 weeks.
• Visualized on ultrasound in 2nd & 3rd trimesters.
• In late pregnancy, these contractions cause false labor.

Ultrasound Findings:

• Appears as focal 'transient' myometrial thickening making confusion with fibroid or retroplacental abnormality. These abnormalities are not transient & fibroid will have a thin echogenic pseudocapsule.
• Give bed rest and recheck after an hour. Fibroid won't change its shape.

Case 01:

Incomplete Abortion

 

Incomplete Abortion

• Products of conception are not completely expelled out

Clinical Features:

• History of per vaginal fleshy mass expulsion
• Continuation of abdominal pain
• Continuation of per vaginal bleeding

Ultrasound Findings:

• Irregular Mixed echogenic substances are noted within the uterine cavity

Case 01:

Video link for this case: https://youtu.be/rCTkTdW5Sv8

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Case 05:

• Vascularity may be noted on Doppler if trophoblast tissue is present. Urine for PT may become positive there

Case 06:

• In early gestation, irregular distorted or displaced gestational sac along with pervaginal bleeding may indicate incomplete abortion
• Proper views for GSD or MSD is not be possible at this situation

 

Case 07:

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