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Recovery of uterine and ovarian function in patients with complete placenta previa after caesarean delivery A retrospective study

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单位: [1]Peking Univ Third Hosp, Dept Obstet & Gynecol, Ctr Reprod Med, 49 North Garden Rd, Beijing 100191, Peoples R China [2]Peking Univ Third Hosp, Natl Clin Res Ctr Obstet & Gynecol, Beijing, Peoples R China [3]Peking Univ Third Hosp, Peking Univ, Key Lab Assisted Reprod, Minist Educ, Beijing, Peoples R China [4]Peking Univ Third Hosp, Beijing Key Lab Assisted Reprod Endocrinol & Assi, Beijing, Peoples R China [5]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Dept Obstet & Gynecol, 1095 Jiefang Ave, Wuhan 430030, Hubei, Peoples R China
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关键词: caesarean delivery menstrual cycle ovarian hormones placenta previa

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This retrospective study was designed to explore the recovery of uterine and ovarian function in patients with complete placenta previa (PP) after caesarean delivery (CD). 136 complete placenta previa patients (group completed placenta previa) and 140 patients without complete PP (group non-PP, control group) were included in this study from Jan 2016 to Dec 2018. Subgroup analysis of patients with complete PP was made to determine the impact of different hemostatic methods used during CD on the recovery of uterine function. There were no statistically significant differences between the 2 groups in postpartum menstrual cycle changes, ovarian hormone, and uterine vascular supply as measured by pulsatility index and systolic/diastolic ratio (P > .05). However, the group with complete PP had a reduced endometrial thickness (0.47 +/- 0.11 vs 0.50 +/- 0.12, P < .001), a lower uterine resistance index at 42nd days (0.84 +/- 0.03 vs 0.90 +/- 0.03, P < .001), and a delayed resumption menstruation (7.07 +/- 2.61 vs 5.31 +/- 2.16, P < .001) when compared with control group. Subgroup analysis showed that RI index of all subgroups in completed PP group was lower, endometrial thickness was thinner and the time to menstrual recovery was longer than that of non-PP group. In conclusion, the endometrial thickness and blood supply at 42nd days, not ovarian function, maybe affected after CD in patients with complete PP.

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出版当年[2020]版:
大类 | 4 区 医学
小类 | 4 区 医学:内科
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 医学:内科
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出版当年[2019]版:
Q3 MEDICINE, GENERAL & INTERNAL
最新[2023]版:
Q2 MEDICINE, GENERAL & INTERNAL

影响因子: 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

第一作者:
第一作者单位: [1]Peking Univ Third Hosp, Dept Obstet & Gynecol, Ctr Reprod Med, 49 North Garden Rd, Beijing 100191, Peoples R China [2]Peking Univ Third Hosp, Natl Clin Res Ctr Obstet & Gynecol, Beijing, Peoples R China [3]Peking Univ Third Hosp, Peking Univ, Key Lab Assisted Reprod, Minist Educ, Beijing, Peoples R China [4]Peking Univ Third Hosp, Beijing Key Lab Assisted Reprod Endocrinol & Assi, Beijing, Peoples R China
通讯作者:
通讯机构: [1]Peking Univ Third Hosp, Dept Obstet & Gynecol, Ctr Reprod Med, 49 North Garden Rd, Beijing 100191, Peoples R China [2]Peking Univ Third Hosp, Natl Clin Res Ctr Obstet & Gynecol, Beijing, Peoples R China [3]Peking Univ Third Hosp, Peking Univ, Key Lab Assisted Reprod, Minist Educ, Beijing, Peoples R China [4]Peking Univ Third Hosp, Beijing Key Lab Assisted Reprod Endocrinol & Assi, Beijing, Peoples R China [5]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Dept Obstet & Gynecol, 1095 Jiefang Ave, Wuhan 430030, Hubei, Peoples R China
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