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:: Volume 20, Issue 3 ( Summer 2018) ::
koomesh 2018, 20(3): 484-490 Back to browse issues page
Causes and incidence of abnormal uterine bleeding patterns in women with the history of cesarean section and vaginal delivery
Sanam Moradan * , Majid Mir Mohammad Khani , Ronaz NikKhah , Hoda Doust Mohammadi
Abstract:   (184 Views)
Introduction: Abnormal uterine bleeding (AUB) is a common problem and might cause by lots of diseases. In this way, more than 50% of Iranian women give birth via C-section and previous studies demonstrated that abnormal bleeding could be an adverse effect of caesarean section. The aim of this study was to compare the incidence and causes of abnormal uterine bleeding patterns in women with a history of caesarean section versus vaginal delivery.
Materials and Methods: Three hundred patients were entered the study in Amir Almomenin hospital (Semnan, Iran). The method of sampling was simple. For each person, a questionnaire including demographic characteristics, AUB questions, physical examination and physical examination, and the causes of AUB, were completed based on paraclinical measures including laboratory tests, Pap smear, transvaginal sonography and sonohistrography.
Results: The incidence of hypomenorrhea in women with vaginal delivery was significantly higher (p<0.05). The average time for onset of abnormal bleeding was 44.27 ± 11.99 versus 38.62± 12.74 months in vaginal delivery versus C-section (p<0.0001). Anatomical causes and incidence of fibroids were also higher in cesarean group (p<0.05). Coniderably, the second most common anatomical causes in cesarean group was isthmocele.
Conclusion: Occurrence of hypomenorrhea in vaginal delivery is higher and the duration period of occurrence of AUB is shorter after cesarean. The most common anatomic causes of abnormal vaginal bleeding in cesarean group were myoma and isthmocele.
Keywords: Metrorrhagia, Uterine Hemorrhage, Cesarean Section
Full-Text [PDF 1490 kb]   (30 Downloads)    
Type of Study: Research | Subject: General
Received: 2017/02/5 | Accepted: 2017/12/16 | Published: 2018/06/22
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Moradan S, Mir Mohammad Khani M, NikKhah R, Doust Mohammadi H. Causes and incidence of abnormal uterine bleeding patterns in women with the history of cesarean section and vaginal delivery . koomesh. 2018; 20 (3) :484-490
URL: http://koomeshjournal.semums.ac.ir/article-1-3847-en.html


Volume 20, Issue 3 ( Summer 2018) Back to browse issues page
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