Cesarean Delivery Changes the Natural Position of the Uterus on Transvaginal Ultrasonography
| Autor: | Ana Monteagudo, Anne West Honart, Basmy Basher, Andrea Kaelin Agten, Spencer McClelland, Ilan E. Timor-Tritsch |
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| Rok vydání: | 2017 |
| Předmět: |
Gynecology
medicine.medical_specialty 030219 obstetrics & reproductive medicine Radiological and Ultrasound Technology medicine.diagnostic_test Intraclass correlation business.industry Vaginal delivery Uterus Gynecologic ultrasonography Retrospective cohort study Intrauterine device female genital diseases and pregnancy complications 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Vagina Medicine Radiology Nuclear Medicine and imaging 030212 general & internal medicine business Cervix reproductive and urinary physiology |
| Zdroj: | Journal of Ultrasound in Medicine. 37:1179-1183 |
| ISSN: | 0278-4297 |
| DOI: | 10.1002/jum.14461 |
| Popis: | OBJECTIVES To assess whether cesarean delivery changes the natural position of the uterus. METHODS In this retrospective Institutional Review Board-approved cohort study, we conducted a search of our university gynecologic ultrasonography (US) database. Patients with transvaginal US images before and after either vaginal or cesarean delivery between 2012 and 2015 were included. Women with prior cesarean delivery were excluded. Two readers independently measured antepartum and postpartum flexion angles between the longitudinal axis of the uterine body and the cervix. We calculated intraclass correlation coefficients to measure inter-reader agreement. Antepartum and postpartum uterine flexion angles were compared between patients with vaginal and cesarean delivery. RESULTS We included 173 patients (107 vaginal and 66 cesarean delivery). The mean interval between scans ± SD was 18 ± 10 months. Inter-reader agreement for flexion angles was almost perfect (intraclass correlation coefficients: antepartum, 0.939; postpartum, 0.969; both P |
| Databáze: | OpenAIRE |
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