The amenorrhea as a protective factor for healing of hysterotomy - a retrospective analysis one year postpartum
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023698%3A_____%2F23%3AN0000007" target="_blank" >RIV/00023698:_____/23:N0000007 - isvavai.cz</a>
Alternative codes found
RIV/00216208:11120/23:43925772
Result on the web
<a href="https://journals.viamedica.pl/ginekologia_polska/article/view/GP.a2023.0051/71858" target="_blank" >https://journals.viamedica.pl/ginekologia_polska/article/view/GP.a2023.0051/71858</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.5603/GP.a2023.0051" target="_blank" >10.5603/GP.a2023.0051</a>
Alternative languages
Result language
angličtina
Original language name
The amenorrhea as a protective factor for healing of hysterotomy - a retrospective analysis one year postpartum
Original language description
Objectives:The good healing of the hysterotomy after cesarean section is important for subsequent pregnancies. How-ever, the factors which improve this healing have not been completely described, yet. In this study, we focused on factors which may affect healing of hysterotomy within one year after delivery, such as menstruation, breastfeeding, and the use of the contraception. Material and methods: Following delivery, total of 540 women were invited for three consecutive visits at six weeks, six months, and 12 months postpartum. The presence of menstruation, frequency of breastfeeding and contraception use were recorded. The scar was evaluated by vaginal ultrasound as already described. The impact of menstruation, breastfeeding, and contraception method on presence of niche was evaluated.Results: The presence of menstruation increased odds to have niche by 45% (CI 1.046-2.018, p = 0.026). Secondarily, our results demonstrated a statistically significant protective effect of breastfeeding on the incidence of niche with OR 0.703 (CI 0.517-0.955, p = 0.024). Breastfeeding decreases odds to have niche by 30%. Also, the use of gestagen con-traception lowered the odds by 40% and intrauterine device (IUD) or combine oral contraceptive (COC) by 46.5%. The other possibly intervening factors were statistically controlled.Conclusions: Amenorrhea, breast-feeding and progesterone-contraceptive decreases the risk of uterine niche within one year follow up.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30214 - Obstetrics and gynaecology
Result continuities
Project
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Continuities
V - Vyzkumna aktivita podporovana z jinych verejnych zdroju
Others
Publication year
2023
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
GINEKOLOGIA POLSKA
ISSN
0017-0011
e-ISSN
2543-6767
Volume of the periodical
94
Issue of the periodical within the volume
12
Country of publishing house
PL - POLAND
Number of pages
6
Pages from-to
972-977
UT code for WoS article
001121214200001
EID of the result in the Scopus database
2-s2.0-85182500946