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Comparison of postpartum sonographic findings after uneventful vaginal and cesarean section deliveries

Objective: To prospectively determine the sonographic findings of the postpartum uterus 24 hours after vaginal delivery and cesarean section. Methods: Women who had uneventful vaginal delivery or cesarean section from July 2015 to May 2018 in a tertiary care hospital were prospectively included. Ute...

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Autores principales: Cilingir, Isil Uzun, Sayin, Cenk, Sutcu, Havva, Alici, Ebru, Inan, Cihan, Erzincan, Selen, Yener, Cem, Varol, Fusun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Exeley Inc. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444312/
https://www.ncbi.nlm.nih.gov/pubmed/30763015
http://dx.doi.org/10.15557/JoU.2018.0045
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author Cilingir, Isil Uzun
Sayin, Cenk
Sutcu, Havva
Alici, Ebru
Inan, Cihan
Erzincan, Selen
Yener, Cem
Varol, Fusun
author_facet Cilingir, Isil Uzun
Sayin, Cenk
Sutcu, Havva
Alici, Ebru
Inan, Cihan
Erzincan, Selen
Yener, Cem
Varol, Fusun
author_sort Cilingir, Isil Uzun
collection PubMed
description Objective: To prospectively determine the sonographic findings of the postpartum uterus 24 hours after vaginal delivery and cesarean section. Methods: Women who had uneventful vaginal delivery or cesarean section from July 2015 to May 2018 in a tertiary care hospital were prospectively included. Uterine lengths, endometrium, amout of free fluid, the distance between the uterine fundus-promontorium and uterine fundus-L5 were evaluated 24 hours after delivery. Results: The mean (min–max) endometrial thickness in the vaginal delivery and cesarean section groups were 13.3 (4–25) and 12.4 (4–29) mm, respectively. Fundus-cervix length was significantly higher in the vaginal delivery group compared to the cesarean section group (184.05 ± 16.8 vs 163.6 ± 6.7 mm, p <0.001). The measurements of anterior and anterior-posterior walls of the uterus, anteroposterior uterine length and uterine width were similar in both groups. Promontorium-fundus length was significantly higher in patients who delivered vaginally than those by cesarean section (123.3 ± 13.6 vs 108.7 ± 23.3 mm, p = 0.005). Conclusion: The measurement of L5-fundus distance is a simple and effective technique to evaluate the size of the uterus. Homogenous endometrium up to 30 mm in asymptomatic patients may be a normal finding 24 hours after delivery. The results of this study may be helpful in the decision-making process in cases of early postpartum hemorrhage or hemodynamic instability.
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spelling pubmed-64443122019-04-09 Comparison of postpartum sonographic findings after uneventful vaginal and cesarean section deliveries Cilingir, Isil Uzun Sayin, Cenk Sutcu, Havva Alici, Ebru Inan, Cihan Erzincan, Selen Yener, Cem Varol, Fusun J Ultrason Medicine Objective: To prospectively determine the sonographic findings of the postpartum uterus 24 hours after vaginal delivery and cesarean section. Methods: Women who had uneventful vaginal delivery or cesarean section from July 2015 to May 2018 in a tertiary care hospital were prospectively included. Uterine lengths, endometrium, amout of free fluid, the distance between the uterine fundus-promontorium and uterine fundus-L5 were evaluated 24 hours after delivery. Results: The mean (min–max) endometrial thickness in the vaginal delivery and cesarean section groups were 13.3 (4–25) and 12.4 (4–29) mm, respectively. Fundus-cervix length was significantly higher in the vaginal delivery group compared to the cesarean section group (184.05 ± 16.8 vs 163.6 ± 6.7 mm, p <0.001). The measurements of anterior and anterior-posterior walls of the uterus, anteroposterior uterine length and uterine width were similar in both groups. Promontorium-fundus length was significantly higher in patients who delivered vaginally than those by cesarean section (123.3 ± 13.6 vs 108.7 ± 23.3 mm, p = 0.005). Conclusion: The measurement of L5-fundus distance is a simple and effective technique to evaluate the size of the uterus. Homogenous endometrium up to 30 mm in asymptomatic patients may be a normal finding 24 hours after delivery. The results of this study may be helpful in the decision-making process in cases of early postpartum hemorrhage or hemodynamic instability. Exeley Inc. 2018 2018-12-31 /pmc/articles/PMC6444312/ /pubmed/30763015 http://dx.doi.org/10.15557/JoU.2018.0045 Text en © Polish Ultrasound Society http://creativecommons.org/licenses/cc-by-nc-nd/4.0/ http://creativecommons.org/licenses/cc-by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial NoDerivatives License (CC BY-NC-ND). Reproduction is permitted for personal, educational, non-commercial use, provided that the original article is in whole, unmodified, and properly cited.
spellingShingle Medicine
Cilingir, Isil Uzun
Sayin, Cenk
Sutcu, Havva
Alici, Ebru
Inan, Cihan
Erzincan, Selen
Yener, Cem
Varol, Fusun
Comparison of postpartum sonographic findings after uneventful vaginal and cesarean section deliveries
title Comparison of postpartum sonographic findings after uneventful vaginal and cesarean section deliveries
title_full Comparison of postpartum sonographic findings after uneventful vaginal and cesarean section deliveries
title_fullStr Comparison of postpartum sonographic findings after uneventful vaginal and cesarean section deliveries
title_full_unstemmed Comparison of postpartum sonographic findings after uneventful vaginal and cesarean section deliveries
title_short Comparison of postpartum sonographic findings after uneventful vaginal and cesarean section deliveries
title_sort comparison of postpartum sonographic findings after uneventful vaginal and cesarean section deliveries
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444312/
https://www.ncbi.nlm.nih.gov/pubmed/30763015
http://dx.doi.org/10.15557/JoU.2018.0045
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