Postpartum uterus

From: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au)
Thu Jul 26 08:11:12 2007


You never know, you might have to one day. It might be the condition that leads you to do a hysterectomy at 6 weeks that is responsible for the hyper vascularity. Nevertheless, the relative hypo-oestrogenism of lactation is most definitely not reflected in any suggestion of avascularity or even hypo-vascularity of the uterus. Involution is not complete until a minimum of 6 weeks and until it is the myometrium is soft and spongy - ideal for an IUCD to perforate.

Steve

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr. Bülent Potur Sent: Thursday, 26 July 2007 10:38 PM Sir, I have hot been there. But I can tell you anyhow that I wouldn't do a hysterectomy on a 6 weeks postpartum lactating woman with a completely involutioned healthy uterus. Regards,

Bulent Potur

At Wed, 25 Jul 2007, R. Daniel Braun wrote: >
>All it takes is to have done a hysterectomy on someone 6 weeks postpartum,
>then you know how hypervascular the uterus is
>
>On 7/25/07, Dr. Bülent Potur <bpotur@yahoo.com> wrote:
>>
>> Well Dan,
>> I had just tried to emphasize the hypoestrogenic state
>> of lactating women and the case's similarity in the
>> insertion to a lactating woman in resembling the
>> vulnerability of the uteri of lactating women in the
>> quoted literature.
>> So I do not have the color doppler data of this case
>> or the 6 week post partum uteri in general.
>> Thank you.
>>
>> Bulent Potur
>>
>> --- "R. Daniel Braun" <rd.braun@gmail.com> wrote:
>>
>> > I would disagree with the "avascular" part of your
>> > statement. At 6 weeks
>> > postpartum the uterus is still quite HYPERVASCULAR.
>> >
>> > Dan
>> >
>> > On 7/25/07, Dr. Bülent Potur <bpotur@yahoo.com >
>> > wrote:
>> > >
>> > > Below is a publication when I had found for a case
>> > report of mine. An
>> > > IUD diagnosed in the pouch of Douglas with vaginal
>> > ultrasound Dirim
>> > > Sep-Oct 2002 31-34) The case also was consistent
>> > with the majority of
>> > > the review below. The IUD had been inserted at
>> > 6th week post partum to
>> > > a lactating women. When the uterus was so thin
>> > and avascular and prone
>> > > to perforation The patient had been referred when
>> > the strings of the IUD
>> > > was not seen at check 2.5 months later insertion.
>> > > Bulent Potur MD Obgyn
>> > > Kirikkale TURKEY

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