Variants of normal and pathological postpartum involution of the uterus
- 作者: Shlepakov V.M.1
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隶属关系:
- D.O. Ott Institute of Obstetrics and Gynecology, Russian Academy of Medical Sciences
- 期: 卷 48, 编号 5S (1999)
- 页面: 146-146
- 栏目: Articles
- ##submission.dateSubmitted##: 22.02.2022
- ##submission.dateAccepted##: 22.02.2022
- ##submission.datePublished##: 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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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.
作者简介
V. Shlepakov
D.O. Ott Institute of Obstetrics and Gynecology, Russian Academy of Medical Sciences
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Email: info@eco-vector.com
俄罗斯联邦, St. Petersburg
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