Can myometrial thickness measurement predict the amount of postpartum hemorrhage and delivery type?

Authors : Ahmet DEMİRCİ, Tayfur ÇİFT, Süleyman Serkan KARAŞİN

Pages : 246-251

View : 25 | Download : 29

Publication Date : 2023-06-28

Article Type : Research Paper

Abstract :Aims: This study aims to determine the effect of the myometrial thickness on the amount of postpartum bleeding and to investigate its role as an auxiliary method in predicting postpartum hemorrhage. Methods: This prospective study includes 305 pregnant women in two groups, vaginal delivery, and cesarean section patients. The fundal, mid anterior, and lower uterine segment myometrium thicknesses were measured. In the postpartum period, the amount of bleeding and the type of delivery was recorded, and the relationship between myometrial thickness measurements was determined. Results: The amount of bleeding in the patients who had a cesarean section was higher than in those who had a vaginal delivery insert ignore into journalissuearticles values(p<0.01);. The myometrium of the patients who had a cesarean section was thicker than those who had a vaginal delivery insert ignore into journalissuearticles values(p<0.05);. Measurements above the cut-off value of 6.1 mm determined for the mid-anterior myometrium thickness measured in the latent phase were associated with a cesarean section with a sensitivity of 63% and a specificity of 66% insert ignore into journalissuearticles values(p=0.011);. Conclusion: Fundal myometrium thickness measured in the active phase and lower uterine segment myometrium thickness measured in the 2nd stage predict postpartum bleeding in patients with a vaginal delivery. Mid-anterior myometrium thickness measured in the latent phase can predict the probability of cesarean delivery.
Keywords : Myometrial Kalınlık, Doğum Sonrası Kanama, Sezaryen, Doğum