Prevention of Uterine Inversion by Using Ultrasonographic Confirmation During Placental Delivery in Dr. Ruth K.M Pfau Civil Hospital Karachi

Life and Science Pub Date : 2024-05-05 DOI:10.37185/lns.1.1.563

Tahmina Shahid Abbasi, K. Kubra, Tabassum Zarrar, Maria Tasneem, Pashmina Gul

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Abstract

Objective: To determine the prevention of uterine inversion by using ultrasonographic confirmation duringplacental delivery.Study Design: Cross-sectional study.Place and Duration of Study: The study was carried out at the Department of Gynecology Unit II, Dr. Ruth K.MPfau Civil Hospital Karachi, Pakistan from June 2022 to June 2023.Methods: In this research, the total of 180 patients were included with transvaginal deliveries. To preventuterine inversion during placental delivery, regular ultrasonographic was implemented. The placental deliverywas performed with ultrasonographic confirmed placental detachment. The frequency of uterine inversionduring placental delivery was compared before and after the introduction of ultrasonographic images. Inaddition, a comparison was made between the ultrasonographic group and the non-ultrasonographic groupregarding the amount of blood loss during transvaginal delivery and the length of the third stage of labor. TheDescriptive statistics were applied to all parameters Using SPSS Version 26.Results: A total of 180 patients who had transvaginal deliveries, mean age 29 ± 9 years. One hundred and eighty women had transvaginal deliveries before and after the introduction of ultrasonography. Following theultrasonographic confirmation, there was a significant decrease in the frequency of uterine inversion whencompared to the pre-introduction period (43.3% vs. 56.7%, p = 0.001). Due to a number of limitations, theactual rate of ultrasonography performed even after it was introduced ultrasonography was 46.1%.Conclusion: In our investigation, we concluded that with the help of ultrasonographic confirmation of placentaldetachment uterine inversion may be prevented. How to cite this: Abbasi TS, Kubra K, Zarrar T, Tasneem M, Gul P. Prevention of Uterine Inversion by Using Ultrasonographic Confirmation During Placental Delivery in Dr. Ruth K.M Pfau Civil Hospital Karachi. Life and Science. 2024; 5(2): 204-209. doi: http://doi.org/10.37185/LnS.1.1.563

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卡拉奇 Ruth K.M Pfau 民立医院在胎盘娩出时使用超声波确认法预防子宫内翻

研究目的研究设计：横断面研究：横断面研究：研究于 2022 年 6 月至 2023 年 6 月在巴基斯坦卡拉奇 Ruth K.MPfau 民医院妇科二部进行：本研究共纳入 180 名经阴道分娩的患者。为防止胎盘娩出时子宫内翻，定期进行超声检查。胎盘娩出经超声证实为胎盘剥离。比较了引入超声波图像前后胎盘娩出时子宫内翻的频率。此外，还比较了超声组和非超声组经阴道分娩时的失血量和第三产程的持续时间。使用 SPSS 26 版本对所有参数进行描述性统计：结果：共有 180 名经阴道分娩的患者，平均年龄（29 ± 9）岁。180 名产妇在引入超声波检查之前和之后进行了经阴道分娩。经超声确认后，子宫内翻的发生率与引入前相比明显下降（43.3% 对 56.7%，P = 0.001）。由于一些限制因素，即使在引入超声波检查后，实际的超声波检查率也只有 46.1%：在我们的调查中，我们得出结论：在超声波检查确认胎盘剥离的帮助下，子宫内翻是可以避免的。如何引用本文：Abbasi TS, Kubra K, Zarrar T, Tasneem M, Gul P. 在卡拉奇露丝-K.M-普法民事医院胎盘娩出时使用超声波确认预防子宫内翻。生命与科学》。2024; 5(2):204-209. DOI: http://doi.org/10.37185/LnS.1.1.563

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