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Re: Uterine size after c-section - follow upFrom: Ricardo Francalacci Savaris (rsavaris@hcpa.ufrgs.br)Thu Aug 10 08:12:48 2006
Dear all, Unfortunately, the patient died yesterday morning, a 19years old woman, from multiple organ failure. I found an article about uterine size after c-section with and without breastfeeding. According to the article, the uterine size should be around 7cm by this time. The reference is Arch Gynecol Obstet (1999) 263:13-16 Answering the curiosity of those, why Hysterectomy? Good question; a desperate measure for a terminal patient? I would have done this in the 1st week after the c-section, because she was not improving clinically, and not uterine involution. Kokumo, good point about the culture, instead of Pathology. Prof. Ricardo F Savaris DGO - UFRGS - Brasil Date: Wed, 9 Aug 2006 18:42:08 +0100 (BST) From: Kokumo Oyakhire <koyakhire@yahoo.co.uk> Involution of the uterus is part of the normal physiological recovery from the changes that occur in pregnancy. Immediately after delivery, the fundal height is just below the umbilicus. Subsequently, ceteris paribus, at a rate of about 1 cm per day, the uterus is not palpable by the 14th day; even if she did not breast fed. That the uterus is still 2cm below the umbilicus on the 29th day is a reflection of the dysfuntion of all systems, including the uterine muscles! Therefore, if infection (by culture, not pus) is not found in the uterus, it does mean that we must search exhaustively for other cause(s)!
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