The amenorrhea as a protective factor for healing of hysterotomy - a retrospective analysis one year postpartum.
Ginekol Pol
; 94(12): 972-977, 2023.
Article
em En
| MEDLINE
| ID: mdl-37284825
ABSTRACT
OBJECTIVES:
The good healing of the hysterotomy after cesarean section is important for subsequent pregnancies. However, 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 ANDMETHODS:
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 contraception 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.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Lactação
/
Amenorreia
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article