Variants of normal and pathological postpartum involution of the uterus
- Authors: Shlepakov V.M.1
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Affiliations:
- D.O. Ott Institute of Obstetrics and Gynecology, Russian Academy of Medical Sciences
- Issue: Vol 48, No 5S (1999)
- Pages: 146-146
- Section: Articles
- Submitted: 22.02.2022
- Accepted: 22.02.2022
- Published: 15.12.1999
- URL: https://journals.eco-vector.com/jowd/article/view/101428
- DOI: https://doi.org/10.17816/JOWD101428
- ID: 101428
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Abstract
Objective: High frequency of disorders in the process of postpartum involution demands corrective therapy. A process of non-induced involution was studied in dynamics in 115 patients after spontaneous delivery at 36-40 weeks.
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Objective: High frequency of disorders in the process of postpartum involution demands corrective therapy. A process of non-induced involution was studied in dynamics in 115 patients after spontaneous delivery at 36-40 weeks.
Methods: Clinical, bacteriological and ultrasonic (US) examination of the genitals was performed on the 1-3-5-7 and in some women on the 9-11-13 days after labor. In norm, the process of genital involution in different parts goes on synchronously with certain tempo.
Results: 3 variants of involution tempos were revealed: accelerated — in 5%, moderate — in 85%, decelerated — in 10%. In moderate and decelerated tempos, along with synergetic changes, dyscoordinated uterine involution was observed in 30%. The following types of dyscoordination were seen: 1) delayed involution of the uterine body with normal contraction of the rest parts; 2) delayed involution of the isthmian part; 3) delayed cervical formation; 4) early cervical formation. The 2nd, 3rd and 4th dyscoordination types were the cause or effect of development of puerperal diseases on a subclinical stage.
Conclusions: 1) About 70% of puerperants under the US control do not need uterotonic measures. 2) Dyscoordinated involution is the main US criterion of unfavorable postpartum course on a subclinical stage. 3) Uterine dimentions individually differed in the studied group by 2.5 times in the 1st day. Naturally, the involution of a “large” organ for the first 7-11 days is slower than that of a “small” one. This should be taken into account when using correlation tables.
About the authors
V. M. Shlepakov
D.O. Ott Institute of Obstetrics and Gynecology, Russian Academy of Medical Sciences
Author for correspondence.
Email: info@eco-vector.com
Russian Federation, St. Petersburg
References
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