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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...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Exeley Inc.
2018
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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. |
format | Online Article Text |
id | pubmed-6444312 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Exeley Inc. |
record_format | MEDLINE/PubMed |
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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