Possibilities of 3D modeling of the uterine cavity in the diagnosis of early hypotonic bleeding
Objective. To assess the possibilities of 3D modeling of the uterine cavity in the diagnosis of early hypotonic bleeding.Ziganshin A.M., Mudrov V.A., Pekarev O.G., Kulavsky E.V.
Materials and methods. 3D modeling of the results of dynamic ultrasound examination of the postpartum uterine cavity was performed in 60 women, in 20 of whom the postpartum period was complicated by early postpartum bleeding. The volume of postpartum blood loss was estimated, by using a calibrated Brass-V receiver package and by weighing blood-soaked wipes.
Results. More than 80 cm3 excess of the uterine cavity volume in the early postpartum period was accompanied by early hypotonic bleeding during the next 3.0 (2.6; 3.4) minutes. There was a high-strength relationship between the volume of the postpartum uterus and that of postpartum blood loss.
Conclusion. Determination of the postpartum uterine cavity volume using 3D modeling is of high diagnostic value in the preclinical evaluation of early hypotonic bleeding, which allows this procedure to be recommended for use in clinical practice.
Keywords
postpartum bleeding
uterine hypotonia
3D modeling
ultrasound diagnosis
uterine cavity
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Received 15.09.2020
Accepted 04.12.2020
About the Authors
Aydar M. Ziganshin, PhD, assistant professor, Department of Obstetrics and Gynecology with the course IDPO, Bashkir State Medical University, Ministry of Health of Russia. Tel.: +7(903)310-16-06. E-mail: Zigaidar@yandex.ru. ORCID: 0000-0001-5474-1080. 450008, Russia, Ufa, Lenina str., 3.Viktor A. Mudrov, PhD, assistant professor, Department of Obstetrics and Gynecology of Medical and Dental Faculties, Chita State Medical Academy, Ministry of Health of Russia. Tel.: +7(914)513-53-46. E-mail: mudrov_viktor@mail.ru. ORCID: 0000-0002-5961-5400. 672090, Russia, Chita, Gorky str., 39A.
Oleg G. Pekarev, MD, professor, Deputy Director of Institution of Obstetrics, V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia. E-mail: o-pecarev@oparina4.ru. 117997, Russia, Moscow, Ac. Oparina str., 4.
Evgeny V. Kulavsky, PhD, assistant professor, Department of Obstetrics and Gynecology with the course IDPO, Bashkir State Medical University, Ministry of Health of Russia. Tel.: +7(927)636-66-94. E-mail: eugenekulavsky@mail.ru. ORCID: 0000-0001-5448-1173. 450008, Russia, Ufa, Lenina str., 3.
For citation: Ziganshin A.M., Mudrov V.A., Pekarev O.G., Kulavsky E.V. Possibilities of 3D modeling of the uterine cavity in the diagnosis of early hypotonic bleeding.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2021; 2: 113-118 (in Russian).
https://dx.doi.org/10.18565/aig.2021.2.113-118
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