title: [Curettage of uterine cavity in late puerperal bleeding].
abstract: Sixty eight (68) female patients were subjected to curettage caused by late puerperal bleeding. The above group is considered as 0.8% of all the female patients who delivered children during the period of research. The most frequent causes of bleeding were: abnormal desquamation of decidua (48.5%), residua of secundines (32.4%), and endometritis (14.7%). Prior to curettage, every patient was subjected to ultrasonographic examination. The suspicion of residual secundines, found in ultrasonographic examination was later confirmed in 36.8% of patients. No significant interdependence between the results of ultrasonographic and histopathological examinations, were noted. The disturbances in natural process of decidua excretion were rarely diagnosed in ultrasonographic pictures (3%) when puerperal bleeding required curettage of uterine cavity.
authors.affiliation: II Katedra i Klinika Połoznictwa i Ginekologii, Akademii Medycznej w Warszawie.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Mutrynowski
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Czajkowski
authors.forename: Izabela
authors.initials: I
authors.lastname: Falkowska
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Deregowski
authors.forename: Jarosław
authors.initials: J
authors.lastname: Mrozek
mesh_terms: D000328:Adult; D004107:Dilatation and Curettage / Q000706:statistics & numerical data*; D004716:Endometritis / Q000150:complications* / Q000209:etiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D018457:Placenta, Retained / Q000150:complications*; D011247:Pregnancy; D011644:Puerperal Disorders / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy*; D016896:Treatment Outcome; D014463:Ultrasonography; D014592:Uterine Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy*