Current approaches to the echographic monitoring of uterine involution in the postpartum period: Impact on management tactics

2016 ◽  
Vol 3_2016 ◽  
pp. 43-48
Author(s):  
Karimova G.N. Karimova ◽  
Eremina O.V. Eremina ◽  
Ogai O.Yu. Ogai ◽  
Boikova Yu.V. Boikova ◽  
Gus A.I. Gus A ◽  
...  
2021 ◽  
Vol 38 (3) ◽  
pp. 245
Author(s):  
Juli Melia ◽  
Ayu Wannisa ◽  
Tongku Nizwan Siregar ◽  
Hafizuddin Hafizuddin ◽  
Budianto Panjaitan ◽  
...  

The aim of this study was to observe the uterine involution of Etawa crossbreed (PE) goat using transcutaneous ultrasonography (USG). This study used four postpartum female goats that released placenta normally. The goats were examined on lateral recumbence position. Uterine involution was observed daily. The study began from the first day of postpartum period until there were no more reduction of uterine horns lumen diameter. From the 1st to 7th day of postpartum period, ultrasound imaging of the uterine wall showed caruncle which was hypoechoic, lumen of uterine filled with lochia (the image was hypoechoic to anechoic) and a clearly visible uterine horns lumen which had decreased in diameter from 105.9 ± 0.9 mm to 87.2 ± 4.6 mm. From the 8th day to the 14th day, lumen diameter had decreased from 80.4 ± 3.8 mm to 63.6 ± 3.2 mm. The presence of caruncle was reduced and the amount of lochia was decreased (anechoic). From the 15th day to the 21st day, lumen diameter had decreased from 61.4 ± 2.1 mm to 52.1 ± 2.7 mm, and the remnants of caruncle and lochia were still visible. From the 22nd day to the 26th day, the diameter of the uterine wall had decreased from 49.7 ± 0.6 mm to 41.5 ± 6.7 mm, and the lochia and caruncle were no longer visible. From the 26th to the 30th day, uterine horns lumen diameter had still decreased from 41.5 ± 6.7 mm to 31.7 ± 0.9 mm. Uterine horns lumen diameter size had decreased every day, stabilized on the 30th day, and ceased to decrease on the 31st day, where the diameter size was the same as on the 30th day postpartum (31.7 ± 0.9 mm). It can be concluded that the duration of uterine involution in PE goats, which had normal delivery is 30-31 days.


2019 ◽  
Vol 81 (3) ◽  
pp. 491-498 ◽  
Author(s):  
Cyril P. STEPHEN ◽  
Walter H. JOHNSON ◽  
Stephen J. LEBLANC ◽  
Robert A. FOSTER ◽  
Tracey S. CHENIER

2015 ◽  
Vol 13 ◽  
Author(s):  
José Carlos Dos Santos Breda ◽  
Luiz Ernandes Kozicki

The study of ovarian follicular dynamics (OFD) and other changes in the bovine reproductive tract has developedsignificantly over the past two decades, primarily due to the use of non-invasive investigative approaches suchas ultrasound. Advances in ultrasound examinations have provided a better understanding of ovarian activity,uterine involution, oviducts status, and other segments of the reproductive tract in the bovine postpartumperiod. Procedures including tracking of the reproductive tract have likewise aided in the development of newmethodologies and techniques to improve reproductive performance in cattle. The aim of this review was tosummarize knowledge regarding the reproductive tract in dairy cows during the postpartum period.


Author(s):  
Juliana Kristoschek ◽  
Renato Moreira de Sá ◽  
Fernanda Silva ◽  
Guillermo Vellarde

Purpose Our aim was to describe the changes observed by ultrasonography in uterine dimensions during the early puerperium among women who experienced an uncomplicated puerperium. Additionally, the influence of parity, mode of delivery, breastfeeding and birth weight on uterine involution was evaluated. Methods Ninety-one patients underwent an ultrasound examination on days 1 (D1), 2 (D2) and 7 (D7) of the postpartum period. The longitudinal, anteroposterior and transverse uterine diameters were measured, and the uterine volume was calculated by the formula: longitudinal diameter (LD) X anteroposterior diameter (APD) X transverse diameter (TD) X 0.45. The thickness and length of the uterine cavity were also measured. Results The uterine volume and the LD, APD and TD decreased by 44.8%, 20.9%, 11.8% and 20.0% respectively. The uterine cavity thickness was reduced by 23%, and the length of the cavity was reduced by 27.2% on D7. Uterine involution was correlated inversely with parity when the day of the postpartum period was not taken into account (p = 0.01). However, when the uterine involution was correlated to parity separately, with D1, D2 or D3, no correlations were found. A significant difference occurred at D2, when it was found that the uterus had a smaller volume following cesarean section compared with vaginal delivery (p = 0.04). The high birth weight and breastfeeding were significantly related to uterine involution (p ≤ 0.01 and p = 0.04). Conclusion The sonographic evaluation of the uterus in the early puerperium should consider birth weight, breastfeeding and parity, as well as the delivery route on D2, to identify abnormalities related to uterine involution.


2019 ◽  
Vol 36 (1) ◽  
pp. 118-125
Author(s):  
Elena A. Sandakova ◽  
Olga V. Khlynova ◽  
Dmitriy V. Zitta ◽  
Ekaterina A. Stepina ◽  
Ksenia A. Koposova ◽  
...  

Inflammatory bowel diseases (IBD) including ulcerous colitis (UC) and Crohn’s disease (CD) are widely spread among young persons and therefore there are many questions from both patients and specialists regarding management tactics for this category of patients. The paper presents the main items of The Second European Consensus on Reproduction and Pregnancy in Patients with IBD including the questions of fertility, optimization of pregnancy planning, characteristic features of its course, labor and postpartum period.


2021 ◽  
Vol 4 (2) ◽  
pp. 45-49
Author(s):  
Mardiana Mardiana ◽  
Emi Yunita

The postpartum period is the period that begins after the placenta comes out and ends when the uterine organs return to their original state (before pregnancy). One of the complications that can occur during the puerperium is uterine subinvolution, where the uterus fails to follow the normal pattern of involution as it should. So that the process of uterine shrinkage is hampered. Based on data obtained at Polindes BugihII in 2014 out of 10 postpartum mothers at 2-6 weeks, 7 (70%) postpartum mothers had uterine subinvolution and 3 (30%) did not. The purpose of this study was to describe the incidence of uterine subinvolution in postpartum mothers at Polindes Bugih II. This research design is descriptive. The total population in this study were 30 postpartum mothers, while the sampling used probability sampling with saturated sampling technique. The variable in this study was the incidence of uterine subinvolution in postpartum mothers. The research instrument used the MCH handbook, then analyzed using univariate analysis. The results of the study were almost entirely (76.67%) mothers did not experience uterine subinvolution, namely as many as 23 people. The solution that can be done to overcome this incident is to encourage the mother to move and breastfeed her baby as often as possible, because this will affect the hypothalamus and cause contractions. So that from these contractions will result in uterine involution and expenditure of Lochea running normally. It is also recommended for multiparous mothers to participate in family planning programs. 


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