The amenorrhea as a protective factor for healing of hysterotomy - a retrospective analysis one year postpartum

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/00216208:11120/23:43925772

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

The amenorrhea as a protective factor for healing of hysterotomy - a retrospective analysis one year postpartum

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

The amenorrhea as a protective factor for healing of hysterotomy - a retrospective analysis one year postpartum

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30214 - Obstetrics and gynaecology

Projekt

—

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2023

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

GINEKOLOGIA POLSKA

ISSN

0017-0011

e-ISSN

2543-6767

Svazek periodika

94

Číslo periodika v rámci svazku

12

Stát vydavatele periodika

PL - Polská republika

Počet stran výsledku

6

Strana od-do

972-977

Kód UT WoS článku

001121214200001

EID výsledku v databázi Scopus

2-s2.0-85182500946