From patient charts we will review patients who had undergone cesarean section within the last 6 months and identify those who received a The Hayman uterine compression suture for uterine atony. We will also select patients who delivered a baby without recieving a Hayman suture to create a control group. Patietns will be grouped as Hayman Group if they recevied a Hayman suture during C/S and control group if thay had not recevied a Hayman suture. We will then check patient charts for post-cesarean outpatient clinic visit and select those who received ovarian reserve evaluation via hormones and antral follicle count during the visits. Finally, we are planning to investigate any correlation between Hayman suture and ovarian dysfunction.
Hayman suture is a common technique for uterine compression to stop bleeding due to uterine atony. Hayman described placement of two to four vertical compression sutures from the anterior to posterior uterine wall without hysterectomy. It is usually employed to overcome uterine atoy dıring cesarean section. However, since the technique is relatively new, data on its safety and efficacy arelimited to a few case reports. several complications including cavity obliteration, blood entrapment and infections have been described. However, data regarding the ovarioan function is lacking.
Study Type
OBSERVATIONAL
Enrollment
120
Hayman suture is a common technique for uterine compression to stop bleeding due to uterine atony. Hayman described placement of two to four vertical compression sutures from the anterior to posterior uterine wall without hysterectomy. It is usually employed to overcome uterine atony during cesarean section.
Department of Obstetrics and Gynecology, University of Health Sciences, Faculty of Medicine, Kanuni Sultan Suleyman Hospital,
Istanbul, Please Enter the State Or Province, Turkey (Türkiye)
RECRUITINGChange in anti-mullerian hormone level from baseline (precesarean) to post-cesarean
ng/dl
Time frame: Before cesarean section and at any follow-up visit within 6 months of cesarean section
Change in follicle stimulating hormone level from baseline (precesarean) to post-cesarean
IU/L
Time frame: Before cesarean section and at any follow-up visit within 6 months of cesarean section
Change in luteinizing hormone level from baseline (precesarean) to post-cesarean
mU/mL
Time frame: Before cesarean section and at any follow-up visit within 6 months of cesarean section
Antral follicle count in the two study groups
number
Time frame: At any follow-up visit within 6 months of cesarean section
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