The Importance of the Novel Postpartum Uterine Ultrasonographic Scale in Numerical Assessments of Uterine Involution Regarding Perinatal Maternal and Fetal Outcomes
Background: Uterine involution assessments are critical for the prevention of postpartum hemorrhage. Various methods have been used worldwide. Methods: The PUUS (Postpartum Uterine Ultrasonographic Scale) method evaluates, by transabdominal ultrasonography, the length of the endometrium of the uteri...
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MDPI AG
2021-09-01
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| Online Access: | https://www.mdpi.com/2075-4418/11/9/1731 |
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| author | Roxana Covali Demetra Socolov Alexandru Carauleanu Ioana Pavaleanu Mona Akad Lucian Vasile Boiculese Razvan Vladimir Socolov |
| author_facet | Roxana Covali Demetra Socolov Alexandru Carauleanu Ioana Pavaleanu Mona Akad Lucian Vasile Boiculese Razvan Vladimir Socolov |
| author_sort | Roxana Covali |
| collection | DOAJ |
| description | Background: Uterine involution assessments are critical for the prevention of postpartum hemorrhage. Various methods have been used worldwide. Methods: The PUUS (Postpartum Uterine Ultrasonographic Scale) method evaluates, by transabdominal ultrasonography, the length of the endometrium of the uterine cavity occupied by blood or debris, from grade 0 (no blood) to grade 4 (over three-quarters of the endometrial length occupied by blood/debris). A total of 131 consecutive patients admitted for delivery in the Elena Doamna Obstetrics and Gynecology University Hospital in Iasi, Romania, were prospectively evaluated using the PUUS method. The mean age was 27.72 years old, and they were examined during the first 24–48 h after vaginal delivery, or in the first 48–72 h after cesarean delivery. For patients with a PUUS grade greater than 1, re-examination was preformed daily in the following days, until the PUUS grade decreased to 1 or 0. Results: By standardizing uterine involution in a numerical fashion, we precisely demonstrate that uterine involution varied with the method of delivery (vaginal/cesarean) and with the number of vials of oxytocin received intrapartum, but not with the number of vials of ergometrine maleate received, and not with the origin of the parturient (rural/urban). |
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| id | doaj.art-0ae0e61d075d44aab68a40e42d92a795 |
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| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-10T07:45:06Z |
| publishDate | 2021-09-01 |
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| series | Diagnostics |
| spelling | doaj.art-0ae0e61d075d44aab68a40e42d92a7952023-11-22T12:41:34ZengMDPI AGDiagnostics2075-44182021-09-01119173110.3390/diagnostics11091731The Importance of the Novel Postpartum Uterine Ultrasonographic Scale in Numerical Assessments of Uterine Involution Regarding Perinatal Maternal and Fetal OutcomesRoxana Covali0Demetra Socolov1Alexandru Carauleanu2Ioana Pavaleanu3Mona Akad4Lucian Vasile Boiculese5Razvan Vladimir Socolov6Department of Radiology, Elena Doamna Obsterics and Gynecology University Hospital, 700398 Iasi, RomaniaDepartment of Obstetrics and Gynecology, Cuza Voda Obstetrics and Gynecology University Hospital, 700038 Iasi, RomaniaDepartment of Obstetrics and Gynecology, Cuza Voda Obstetrics and Gynecology University Hospital, 700038 Iasi, RomaniaDepartment of Obstetrics and Gynecology, Elena Doamna Obstetrics and Gynecology University Hospital, 700398 Iasi, RomaniaDepartment of Obstetrics and Gynecology, Grigore T. Popa University of Medicine and Pharmacy, 700115 Iasi, RomaniaDepartment of Statistics, Grigore T. Popa University of Medicine and Pharmacy, 700115 Iasi, RomaniaDepartment of Obstetrics and Gynecology, Elena Doamna Obstetrics and Gynecology University Hospital, 700398 Iasi, RomaniaBackground: Uterine involution assessments are critical for the prevention of postpartum hemorrhage. Various methods have been used worldwide. Methods: The PUUS (Postpartum Uterine Ultrasonographic Scale) method evaluates, by transabdominal ultrasonography, the length of the endometrium of the uterine cavity occupied by blood or debris, from grade 0 (no blood) to grade 4 (over three-quarters of the endometrial length occupied by blood/debris). A total of 131 consecutive patients admitted for delivery in the Elena Doamna Obstetrics and Gynecology University Hospital in Iasi, Romania, were prospectively evaluated using the PUUS method. The mean age was 27.72 years old, and they were examined during the first 24–48 h after vaginal delivery, or in the first 48–72 h after cesarean delivery. For patients with a PUUS grade greater than 1, re-examination was preformed daily in the following days, until the PUUS grade decreased to 1 or 0. Results: By standardizing uterine involution in a numerical fashion, we precisely demonstrate that uterine involution varied with the method of delivery (vaginal/cesarean) and with the number of vials of oxytocin received intrapartum, but not with the number of vials of ergometrine maleate received, and not with the origin of the parturient (rural/urban).https://www.mdpi.com/2075-4418/11/9/1731uterine ultrasonographyobstetric deliverypostpartum hemorrhageuterine retractionendometrial length |
| spellingShingle | Roxana Covali Demetra Socolov Alexandru Carauleanu Ioana Pavaleanu Mona Akad Lucian Vasile Boiculese Razvan Vladimir Socolov The Importance of the Novel Postpartum Uterine Ultrasonographic Scale in Numerical Assessments of Uterine Involution Regarding Perinatal Maternal and Fetal Outcomes Diagnostics uterine ultrasonography obstetric delivery postpartum hemorrhage uterine retraction endometrial length |
| title | The Importance of the Novel Postpartum Uterine Ultrasonographic Scale in Numerical Assessments of Uterine Involution Regarding Perinatal Maternal and Fetal Outcomes |
| title_full | The Importance of the Novel Postpartum Uterine Ultrasonographic Scale in Numerical Assessments of Uterine Involution Regarding Perinatal Maternal and Fetal Outcomes |
| title_fullStr | The Importance of the Novel Postpartum Uterine Ultrasonographic Scale in Numerical Assessments of Uterine Involution Regarding Perinatal Maternal and Fetal Outcomes |
| title_full_unstemmed | The Importance of the Novel Postpartum Uterine Ultrasonographic Scale in Numerical Assessments of Uterine Involution Regarding Perinatal Maternal and Fetal Outcomes |
| title_short | The Importance of the Novel Postpartum Uterine Ultrasonographic Scale in Numerical Assessments of Uterine Involution Regarding Perinatal Maternal and Fetal Outcomes |
| title_sort | importance of the novel postpartum uterine ultrasonographic scale in numerical assessments of uterine involution regarding perinatal maternal and fetal outcomes |
| topic | uterine ultrasonography obstetric delivery postpartum hemorrhage uterine retraction endometrial length |
| url | https://www.mdpi.com/2075-4418/11/9/1731 |
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