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Uterine involution after term childbirth

Author: Anwar N. Al- Bassam * CABOG
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 / 24108057 Year: 2009 Volume: 51 Issue: 1 Pages: 8-11
Publisher: Baghdad University جامعة بغداد


Background: uterine involution is the process by which the postpartum uterus returning to itsprepregnant state by the process of autolysis. The aim of the study is to fallow the uterine involutionsonographicly during the first two weeks of puerperium and clinical correlation of several puerperalconditions was sought.Patients and methods: One hundred full term women were delivered in one of Baghdad hospitalduring a six month period were followed by serial sonogram during the first two weeks of thepuerperal period to show the normal process of uterine regression in relation to several condition .Therate of uterine involution were shown as percentage drop in uterine volume at day (7) and day (14)compared to day (1).Results: 59 patient included in this project were delivered vaginally, and 41 patient delivered byemergency C/S.The mean percentage drop in uterine volume in vaginal delivery was 39.9% at 7 days postpartum &62.7%at 14days postpartum and in those delivered by C/S was 27.9%at 7 days and 55.2 %at 14 dayspostpartum.24 patients had an abnormal offensive lochia and high vaginal swab was positive for the presence ofpathogenic organisms is 46% and negative in 54%inthe 7th postpartum day.The mean percentage drop in uterine size was faster in women delivered infant less than 4kg.(37%drop) compared to those delivered infant more than 4 kg.(26% drop) in the 1st 7 dayspostpartum regardless to the mode of delivery but the body weight loses its effect in the 14thIntroduction:daypostpartum.Conclusion:The uterine involution is faster in women delivered vaginally compared to thosedelivered by emergency C/S regardless to the weight of the newborn.The uterine involution isdelayed in women delivered newborns weighing more than 4 kg. , also the uterine involution isdelayed in women who are their high vaginal swab show presence of pathogenic organism. Nocorrelation was found between breast feeding &rate of uterine involution.Key word: puerperal uterus, ultrasound, mode of delivery, lochia, foetal weight, type of infantfeedin

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