{"id":2383,"date":"2013-10-29T15:32:02","date_gmt":"2013-10-29T15:32:02","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/nonviable-pregnanc-first-trimester\/"},"modified":"2025-05-13T20:27:50","modified_gmt":"2025-05-13T20:27:50","slug":"nonviable-pregnanc-first-trimester","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/nonviable-pregnanc-first-trimester\/","title":{"rendered":"Criterios Diagn\u00f3stico para Embarazo No Viable en el Primer Trimestre"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Nuevos criterios para el uso de la ecograf\u00eda para evaluar la viabilidad prenatal, presentado por la Society of Radiologists in Ultrasound, ayudar\u00e1n a obstetras a determinar que un embri\u00f3n haya detenido su desarrollo.<br \/>\n<!--more--><br \/>\n<strong>Pautas para el diagn\u00f3stico ultrasonogr\u00e1fico transvaginal (ETV) de fracaso del embarazo en una mujer con una gestaci\u00f3n intrauterina de viabilidad incierta.<\/strong><\/p>\n<p><strong>Hallazgos diagn\u00f3stico de fracaso del embarazo<\/strong><\/p>\n<ul>\n<li>Longitud cr\u00e1neo-cadera de &gt;\/= 7 mm y ausencia de latidos card\u00edacos<\/li>\n<li>Di\u00e1metro medio del saco de &gt;\/= 25 mm y ausencia de embri\u00f3n<\/li>\n<li>Ausencia de embri\u00f3n con latidos card\u00edacos &gt;\/= 2 semanas despu\u00e9s de un scan que mostr\u00f3 un saco gestacional sin saco vitelino<\/li>\n<li>Ausencia de embri\u00f3n con latidos card\u00edacos &gt;\/= 11 d\u00edas despu\u00e9s de un scan que mostr\u00f3 un saco gestacional con un saco vitelino<\/li>\n<\/ul>\n<p><strong>Hallazgos sospechosos para, pero no diagn\u00f3stico, de fracaso del embarazo*<\/strong><\/p>\n<ul>\n<li>Longitud cr\u00e1neo-cadera de &lt; 7 mm y ausencia de latidos card\u00edacos<\/li>\n<li>Di\u00e1metro medio del saco de 16-24 mm y ausencia de embri\u00f3n<\/li>\n<li>Ausencia de embri\u00f3n con latidos card\u00edacos 7-13 d\u00edas despu\u00e9s de un scan que mostr\u00f3 un saco gestacional sin saco vitelino<\/li>\n<li>Ausencia de embri\u00f3n con latidos card\u00edacos 7-10 d\u00edas despu\u00e9s de un scan que mostr\u00f3 un saco gestacional con un saco vitelino<\/li>\n<li>Ausencia de embri\u00f3n &gt;\/= 6 semanas despu\u00e9s del \u00faltimo per\u00edodo menstrual<\/li>\n<li>Amnios vac\u00edo (amnios visto adyacente al saco vitelino, sin embri\u00f3n visible)<\/li>\n<li>Saco vitelino amplio (&gt;7 mm)<\/li>\n<li>Saco gestacional peque\u00f1o en relaci\u00f3n con el tama\u00f1o del embri\u00f3n (&lt; 5 mm de diferencia entre el di\u00e1metro medio del saco \u00a0y la longitud cr\u00e1neo-cadera)<\/li>\n<\/ul>\n<p>* Cuando hay hallazgos sospechosos de fracaso del embarazo, la ecograf\u00eda de seguimiento a los 7 a 10 d\u00edas para evaluar la viabilidad del embarazo generalmente es apropiada.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Doubilet PM, Benson CB, Bourne T, Blaivas M; Society of Radiologists in Ultrasound Multispecialty Panel on Early First Trimester Diagnosis of Miscarriage and Exclusion of a Viable Intrauterine Pregnancy, Barnhart KT, Benacerraf BR, Brown DL, Filly RA, Fox JC, Goldstein SR, Kendall JL, Lyons EA, Porter MB, Pretorius DH, Timor-Tritsch IE. Diagnostic criteria for nonviable pregnancy early in the first trimester. N Engl J Med. 2013 Oct 10;369(15):1443-51. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24106937\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Abdallah Y, Daemen A, Kirk E, Pexsters A, Naji O, Stalder C, Gould D, Ahmed S, Guha S, Syed S, Bottomley C, Timmerman D, Bourne T. Limitations of current definitions of miscarriage using mean gestational sac diameter and crown-rump length measurements: a multicenter observational study. Ultrasound Obstet Gynecol. 2011 Nov;38(5):497-502. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21997898\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Oct 29, 2013.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Nuevos criterios para el uso de la ecograf\u00eda para evaluar la viabilidad prenatal, presentado por la Society of Radiologists in Ultrasound, ayudar\u00e1n a obstetras a determinar que un embri\u00f3n haya detenido su desarrollo.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[87],"tags":[16,15,14,13,1035,194,1034,1033,1032,1031,1030,1029,1028,1027,1036],"class_list":["post-2383","post","type-post","status-publish","format-standard","hentry","category-obstetrics-gynecology","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-early","tag-embarazo","tag-first","tag-no","tag-nonviable","tag-pregnancy","tag-primer","tag-temprano","tag-trimester","tag-trimestre","tag-viable"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2383","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2383"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2383\/revisions"}],"predecessor-version":[{"id":8744,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2383\/revisions\/8744"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2383"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2383"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2383"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}