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The Importance of the Novel Postpartum Uterine Ultrasonographic Scale in Numerical Assessments of Uterine Involution Regarding Perinatal Maternal and Fetal Outcomes

1
Department of Radiology, Elena Doamna Obsterics and Gynecology University Hospital, 700398 Iasi, Romania
2
Department of Obstetrics and Gynecology, Cuza Voda Obstetrics and Gynecology University Hospital, 700038 Iasi, Romania
3
Department of Obstetrics and Gynecology, Elena Doamna Obstetrics and Gynecology University Hospital, 700398 Iasi, Romania
4
Department of Obstetrics and Gynecology, Grigore T. Popa University of Medicine and Pharmacy, 700115 Iasi, Romania
5
Department of Statistics, Grigore T. Popa University of Medicine and Pharmacy, 700115 Iasi, Romania
*
Author to whom correspondence should be addressed.
Diagnostics 2021, 11(9), 1731; https://doi.org/10.3390/diagnostics11091731
Received: 16 August 2021 / Revised: 13 September 2021 / Accepted: 20 September 2021 / Published: 21 September 2021
(This article belongs to the Section Medical Imaging and Theranostics)
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). View Full-Text
Keywords: uterine ultrasonography; obstetric delivery; postpartum hemorrhage; uterine retraction; endometrial length uterine ultrasonography; obstetric delivery; postpartum hemorrhage; uterine retraction; endometrial length
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MDPI and ACS Style

Covali, R.; Socolov, D.; Carauleanu, A.; Pavaleanu, I.; Akad, M.; Boiculese, L.V.; Socolov, R.V. The Importance of the Novel Postpartum Uterine Ultrasonographic Scale in Numerical Assessments of Uterine Involution Regarding Perinatal Maternal and Fetal Outcomes. Diagnostics 2021, 11, 1731. https://doi.org/10.3390/diagnostics11091731

AMA Style

Covali R, Socolov D, Carauleanu A, Pavaleanu I, Akad M, Boiculese LV, Socolov RV. The Importance of the Novel Postpartum Uterine Ultrasonographic Scale in Numerical Assessments of Uterine Involution Regarding Perinatal Maternal and Fetal Outcomes. Diagnostics. 2021; 11(9):1731. https://doi.org/10.3390/diagnostics11091731

Chicago/Turabian Style

Covali, Roxana, Demetra Socolov, Alexandru Carauleanu, Ioana Pavaleanu, Mona Akad, Lucian Vasile Boiculese, and Razvan Vladimir Socolov. 2021. "The Importance of the Novel Postpartum Uterine Ultrasonographic Scale in Numerical Assessments of Uterine Involution Regarding Perinatal Maternal and Fetal Outcomes" Diagnostics 11, no. 9: 1731. https://doi.org/10.3390/diagnostics11091731

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