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Ultrasonographic Evaluation of Uterine Involution in the Early Puerperium

Purpose Our aim was to describe the changes observed by ultrasonography in uterine dimensions during the early puerperium among women who experienced an uncomplicated puerperium. Additionally, the influence of parity, mode of delivery, breastfeeding and birth weight on uterine involution was evaluat...

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Autores principales: Kristoschek, Juliana Hocevar, Moreira de Sá, Renato Augusto, Silva, Fernanda Campos da, Vellarde, Guillermo Coca
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme-Revinter Publicações Ltda 2017
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10309319/
https://www.ncbi.nlm.nih.gov/pubmed/28371959
http://dx.doi.org/10.1055/s-0037-1601418
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author Kristoschek, Juliana Hocevar
Moreira de Sá, Renato Augusto
Silva, Fernanda Campos da
Vellarde, Guillermo Coca
author_facet Kristoschek, Juliana Hocevar
Moreira de Sá, Renato Augusto
Silva, Fernanda Campos da
Vellarde, Guillermo Coca
author_sort Kristoschek, Juliana Hocevar
collection PubMed
description Purpose Our aim was to describe the changes observed by ultrasonography in uterine dimensions during the early puerperium among women who experienced an uncomplicated puerperium. Additionally, the influence of parity, mode of delivery, breastfeeding and birth weight on uterine involution was evaluated. Methods Ninety-one patients underwent an ultrasound examination on days 1 (D1), 2 (D2) and 7 (D7) of the postpartum period. The longitudinal, anteroposterior and transverse uterine diameters were measured, and the uterine volume was calculated by the formula: longitudinal diameter (LD) X anteroposterior diameter (APD) X transverse diameter (TD) X 0.45. The thickness and length of the uterine cavity were also measured. Results The uterine volume and the LD, APD and TD decreased by 44.8%, 20.9%, 11.8% and 20.0% respectively. The uterine cavity thickness was reduced by 23%, and the length of the cavity was reduced by 27.2% on D7. Uterine involution was correlated inversely with parity when the day of the postpartum period was not taken into account (p = 0.01). However, when the uterine involution was correlated to parity separately, with D1, D2 or D3, no correlations were found. A significant difference occurred at D2, when it was found that the uterus had a smaller volume following cesarean section compared with vaginal delivery (p = 0.04). The high birth weight and breastfeeding were significantly related to uterine involution (p ≤ 0.01 and p = 0.04). Conclusion The sonographic evaluation of the uterus in the early puerperium should consider birth weight, breastfeeding and parity, as well as the delivery route on D2, to identify abnormalities related to uterine involution.
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spelling pubmed-103093192023-07-27 Ultrasonographic Evaluation of Uterine Involution in the Early Puerperium Kristoschek, Juliana Hocevar Moreira de Sá, Renato Augusto Silva, Fernanda Campos da Vellarde, Guillermo Coca Rev Bras Ginecol Obstet Purpose Our aim was to describe the changes observed by ultrasonography in uterine dimensions during the early puerperium among women who experienced an uncomplicated puerperium. Additionally, the influence of parity, mode of delivery, breastfeeding and birth weight on uterine involution was evaluated. Methods Ninety-one patients underwent an ultrasound examination on days 1 (D1), 2 (D2) and 7 (D7) of the postpartum period. The longitudinal, anteroposterior and transverse uterine diameters were measured, and the uterine volume was calculated by the formula: longitudinal diameter (LD) X anteroposterior diameter (APD) X transverse diameter (TD) X 0.45. The thickness and length of the uterine cavity were also measured. Results The uterine volume and the LD, APD and TD decreased by 44.8%, 20.9%, 11.8% and 20.0% respectively. The uterine cavity thickness was reduced by 23%, and the length of the cavity was reduced by 27.2% on D7. Uterine involution was correlated inversely with parity when the day of the postpartum period was not taken into account (p = 0.01). However, when the uterine involution was correlated to parity separately, with D1, D2 or D3, no correlations were found. A significant difference occurred at D2, when it was found that the uterus had a smaller volume following cesarean section compared with vaginal delivery (p = 0.04). The high birth weight and breastfeeding were significantly related to uterine involution (p ≤ 0.01 and p = 0.04). Conclusion The sonographic evaluation of the uterus in the early puerperium should consider birth weight, breastfeeding and parity, as well as the delivery route on D2, to identify abnormalities related to uterine involution. Thieme-Revinter Publicações Ltda 2017-04-03 2017-04 /pmc/articles/PMC10309319/ /pubmed/28371959 http://dx.doi.org/10.1055/s-0037-1601418 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Kristoschek, Juliana Hocevar
Moreira de Sá, Renato Augusto
Silva, Fernanda Campos da
Vellarde, Guillermo Coca
Ultrasonographic Evaluation of Uterine Involution in the Early Puerperium
title Ultrasonographic Evaluation of Uterine Involution in the Early Puerperium
title_full Ultrasonographic Evaluation of Uterine Involution in the Early Puerperium
title_fullStr Ultrasonographic Evaluation of Uterine Involution in the Early Puerperium
title_full_unstemmed Ultrasonographic Evaluation of Uterine Involution in the Early Puerperium
title_short Ultrasonographic Evaluation of Uterine Involution in the Early Puerperium
title_sort ultrasonographic evaluation of uterine involution in the early puerperium
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10309319/
https://www.ncbi.nlm.nih.gov/pubmed/28371959
http://dx.doi.org/10.1055/s-0037-1601418
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