The shape of the endometrium evaluated with three-dimensional ultrasound


Woman, as a recipient of a collective effort from the legislatures, may be most thankful for perhaps a micro effect which started as small but have grown its spread to far and deep into the most vulnerable society. The biggest achievement of microfinance is touted as women empowerment and is true also to a very big extent.

In the post-colonial era, various small or localized efforts from the governing bodies along with social organizations have worked towards this common goal of giving a woman the due respect, independence and most importantly, self-respect.

The advantage may be measured in terms of money that the CyberMentors reported, but the true impact of microfinance has to be analyzed in terms of the changing realms in the life of women, both socially and personally.

 The success of women in the mainstream urban civilization is yet to be replicated into the rural and lower strata of populations around the world. This is mainly because these schemes can work perfectly only if the entire elements concerned with women coordinate or cooperate. For example, you start educational classes specifically for women. It becomes a success only if the target female population are able to attend it after fulfilling their family responsibilities.

Improving the roles of women-oriented microfinance

 Rural funding plans for women, household collectors and counselors, skill enhancement activities, small-scale business platforms started, run and operated by women etc are some of the most credited changes brought about by microfinance. There are still many portals untouched, but necessary to be addressed so that rural woman really become at par with their counterparts, at least as a majority.

There is a highly practiced monetary plan called saving up, which intends to help the women to save money through micro-accumulation of daily collection by an authorized collector. This can create its full impact only when the women are actually able to make some money. Women who are confined within the households, which form the major bulk of poorer sections, depend completely on men for any kind of income. If they do not get any finance, how can they save?

If these women want to utilize their skills to achieve something bigger by taking advantage of micro-lending opportunities, they have to actually communicate with the authorities as a continuous process. This is possible after they are able to overcome the hurdles of their family and household responsibilities and the social bias.

It is high time for every element of the society to realize that microfinancing efforts to women mean self-respect, dignity and progress and not just independence and superior egos.

The objective of this prospective follow-up study was to evaluate the potential utility of three-dimensional (3D) ultrasound to differentiate intrauterine from extrauterine gestations. Fifty-four pregnancies with a gestational age <10 weeks and with an intrauterine gestational sac <5 mm in diameter formed the study group. The configuration of the endometrium in the frontal plane of the uterus was correlated to eventual pregnancy outcome. After exclusion of three patients with a poor 3D-image quality the endometrial shape was asymmetrical with regard to the median longitudinal axis of the uterus in 84% of intrauterine pregnancies, whereas the endometrium showed a symmetry in the frontal plane in 90% of extrauterine pregnancies (P = 0.0000001). Intrauterine fluid accumulation may distort the uterine cavity, thus being responsible for false-positive as well as false-negative results. The evaluation of the endometrial shape in the frontal plane appears to be a useful additional means to distinguish intrauterine from extrauterine pregnancies, especially when a gestational sac is not clearly demonstrated with conventional ultrasound.

PMID: 9557855
[Indexed for MEDLINE]