[Influence of interventional radiotherapy for severe postpartum hemorrhage on postpartum menorrhea].
OBJECTIVE
To discuss the influence of interventional radiotherapy for treating severe postpartum hemorrhage on postpartum menorrhea.


METHODS
From Mar. 1995 to Feb. 2002, 18 cases of severe postpartum hemorrhage treated with arterial embolization served as the interventional group. Twenty parturients without postpartum complication were recruited as control group. The continuance of lochia, recovery of menorrhea between the two groups were compared. Serum follicle-stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E(2)) of the non-lactating women in the two groups were assayed during the 3rd-5th days of the first menstrual cycle.


RESULTS
Continuance times of lochia were (33.9 +/- 2.0) days, and (36.2 +/- 3.1) days in interventional group and control group, respectively. Recovery times of menorrhea were (75 +/- 17) days, and (95 +/- 16) days in interventional group and control group. The quantity of the postpartum menorrhea was 1.3 +/- 0.1 times of that before delivery in interventional group, 1.3 +/- 0.2 times of that in control group. The number of menstrual cycle before recovery to normal menorrhea was 2 cycles in interventional group, 1.9 cycles in control group. Postpartum menstrual cycle was (33.9 +/- 2.2) days in interventional group, (33.2 +/- 1.6) days in control group. Serum FSH, LH, E(2) of the non-lactating women during the 3rd approximately 5th days of the first menstrual cycle were (5.2 +/- 1.1) U/L, (7.5 +/- 1.6) U/L, (262 +/- 14) pmol/L in interventional group, (4.3 +/- 2.1) U/L, (6.3 +/- 1.3) U/L, (280 +/- 12) pmol/L in control group. There was no significant difference between the two groups (P > 0.05).


CONCLUSIONS
No obvious influence of interventional radiotherapy for postpartum hemorrhage on postpartum menorrhea was observed.
Wang
Jin-jiang
JJ
Interventional Treatment Centre of Obstetrics and Gynecology, Guangzhou First Municipal People's Hospital, Guangzhou 510180, China.
Chen
Chun-lin
CL
Liu
Ping
P
Ma
Ben
B
Zeng
Bei-lan
BL
Zhang
Yu-jie
YJ
Chen
Shu-xian
SX
He
Shu-zhen
SZ
D000328:Adult; D015901:Angiography, Digital Subtraction / Q000379:methods; D004621:Embolization, Therapeutic; D004958:Estradiol / Q000097:blood; D005260:Female; D005640:Follicle Stimulating Hormone / Q000097:blood; D005500:Follow-Up Studies; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging; D007986:Luteinizing Hormone / Q000097:blood; D008593:Menopause / Q000097:blood*; D006473:Postpartum Hemorrhage / Q000628:therapy*; D011247:Pregnancy; D016896:Treatment Outcome
D004958:Estradiol; D007986:Luteinizing Hormone; D005640:Follicle Stimulating Hormone