POSSIBILITIES OF 3D MODELING OF THE UTERINE CAVITYIN THE DIAGNOSIS OF EARLY HYPOTONIC BLEEDING


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Abstract

Objective. To assess the possibilities of 3D modeling of the uterine cavity in the diagnosis of early hypotonic bleeding. Materials and methods. 3D modeling of the results of dynamic ultrasound examination of the postpartum uterine cavity was performed in 60 women, in 20 of whom the postpartum period was complicated by early postpartum bleeding. The volume of postpartum blood loss was estimated, by using a calibrated Brass- V receiver package and by weighing blood-soaked wipes. Results. More than 80 cm3 excess of the uterine cavity volume in the early postpartum period was accompanied by early hypotonic bleeding during the next 3.0 (2.6; 3.4) minutes. There was a high-strength relationship between the volume of the postpartum uterus and that of postpartum blood loss. Conclusion. Determination of the postpartum uterine cavity volume using 3D modeling is of high diagnostic value in the preclinical evaluation of early hypotonic bleeding, which allows this procedure to be recommended for use in clinical practice.

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About the authors

Aydar M. Ziganshin

Bashkir State Medical University, Ministry of Health of Russia

Email: zigaidar@yandex.ru
PhD, assistant professor, Department of Obstetrics and Gynecology with the course IDPO 450008, Russia, Ufa, Lenina str., 3

Viktor A. Mudrov

Chita State Medical Academy,Ministry of Health of Russia

Email: mudrov_viktor@mail.ru
PhD, assistant professor, Department of Obstetrics and Gynecology of Medical and Dental Faculties 672090, Russia, Chita, Gorky str., 39A

Oleg G. Pekarev

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: o_pekarev@oparina4.ru
MD, professor, Deputy Director of Institution of Obstetrics 117997, Russia, Moscow, Ac. Oparina str., 4

Evgeny V. Kulavsky

Bashkir State Medical University, Ministry of Health of Russia

Email: e.v.kulavsky@mail.ru
PhD, assistant professor, Department of Obstetrics and Gynecology with the course IDPO 450008, Russia, Ufa, Lenina str., 3

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