Recovery of menstrual function in patients with placenta accreta spectrum disorders


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Abstract

Aim. To investigate the menstrual function recovery time in patients with placenta accreta spectrum disorders. Material and methods. The study prospectively analyzed 147 medical records of pregnant women with abnormal placental implantation, who underwent different methods of intraoperative hemostasis. Uterine artery embolization, hysterectomy, and surgical hemostasis without hysterectomy were performed in groups I1, I2, and I3, respectively. The study evaluated postoperative blood loss, hormonal levels, and menstrual function recovery time. Statistical analysis was performed using the Statistica 6 software. Results. During the three months of the study, menstrual cycle returned in 67.9% and 10% of patients in groups I} and I3, respectively. The fastest return to normal levels of hormones was observed in patients of group I. Conclusion. The embolization of the uterine arteries is an effective organ-sparing technique that contributes to the rapid resumption of menstrual function.

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About the authors

Roman N. Marchenko

Tyumen Regional Perinatal Center

Email: vrach08@rambler.ru
graduate student of the Department of Obstetrics, Gynecology and Intensive Care with a course of clinical and laboratory diagnostics

Irina I. Kukarskaya

Tyumen Regional Perinatal Center

Email: kukarskay@mail.ru
MD, professor of the Department of Obstetrics, CTNC and Reanimatology with a course of clinical laboratory diagnostics

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