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WFRF:(Mulic Lutvica Ajlana)
 

Sökning: WFRF:(Mulic Lutvica Ajlana) > Postpartum Ultrasound

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004010nam a2200433 4500
001oai:DiVA.org:uu-7830
003SwePub
008070419s2007 | |||||||||||000 ||eng|
020 a 9789155468736q print
024a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-78302 URI
040 a (SwePub)uu
041 a engb eng
042 9 SwePub
072 7a vet2 swepub-contenttype
072 7a dok2 swepub-publicationtype
100a Mulic-Lutvica, Ajlana,d 1957-u Uppsala universitet,Obstetrik & gynekologi4 aut0 (Swepub:uu)ajlut120
2451 0a Postpartum Ultrasound
246a Postpartum Ultraljud
264 1a Uppsala :b Acta Universitatis Upsaliensis,c 2007
300 a 77 s.
338 a electronic2 rdacarrier
490a Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine,x 1651-6206 ;v 254
520 a This study was undertaken to investigate the involutional changes of the uterus and uterine cavity by ultrasound (US), gray-scale and Doppler, after normal delivery, and to compare with the corresponding findings from women with puerperal complications, particularly retained placental tissue (RPT). The overall design was exploratory and prospective, with the use of descriptive statistics for analysis. Forty-two women with uncomplicated vaginal term delivery were examined on post-partum days 1, 3, 7, 14, 28 and 56. The AP diameters of the uterus and uterine cavity and morphological findings were recorded. The maximum AP diameters of the uterus and uterine cavity diminished from 92.0 mm on day 1 to 38.9 mm at day 56 and from 15.8 mm at day 1 to 4.0 mm at day 56, respectively. The uterus was most often empty in the early and late puerperium while a mixed echo pattern over the whole cavity was found during mid puerperium (I).Seventy-nine women with secondary post partum hemorrhage (SPH) were examined on the day they presented with clinical symptoms. US revealed an echogenic mass in the uterine cavity in 17 of 18 patients treated surgically and histology confirmed placental tissue in 14 of these. Sixty-one patients with either an empty cavity or mixed echo pattern had an uneventful puerperal course after conservative treatment (II).AP diameters and morphological findings for 55 women with endometritis, 28 after caesarean section and 20 after manual evacuation of the placenta overlapped extensively with normal references (III).The physiological vascular involution studied in 45 women after normal delivery showed that PI and RI indices did not change significantly until day 28 postpartum. The presence of at least one uterine artery notch was found in 13.3% of the women at day 1 and in 90.6% at day 56 postpartum (IV).PI and RI values were measured and compared with reference values in 20 women with clinical suspicion of RPT who were to undergo surgical evacuation. Mean resistance indices were below the 10th percentile for eight of these 20 women, but overlapping was considerable. Doppler US has limited value as a diagnostic tool for RPT. The absence of a hyper-vascular area in the myometrium does not exclude RPT but an echogenic mass in the cavity is a sign of RPT (V).
653 a Medicine
653 a Postpartum ultrasound
653 a Uterine artery Doppler
653 a Retained placental tissue
653 a Secondary postpartum hemorrhage
653 a Puerperium
653 a Endometritis postpartum
653 a Cesarean section
653 a Medicin
700a Axelsson, Ove4 ths
700a Eurenius, Karin4 ths
700a Kiserud, Torvid,c Professoru Seksjon for fostermedisin, Kvinneklinikken, Haukeland Universitetssykehus, Bergen4 opn
710a Uppsala universitetb Obstetrik & gynekologi4 org
856u https://uu.diva-portal.org/smash/get/diva2:170138/FULLTEXT01.pdfx primaryx Raw objecty fulltext
856u https://uu.diva-portal.org/smash/get/diva2:170138/COVER01.pdfy cover
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-7830

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