[Controversial points of estimation of the thickness of the anterior wall of the pregnant uterus].
OBJECTIVE
to study reasons for the discrepancy between clinical and echographic estimates of the thickness of the pregnant uterine wall during cesarean section.


METHODS
175 labors running physiologically, during labor induction and delivery stimulation and 22 cases of late abortions (19-27-week gestation) when clinically indicated, were studied.


RESULTS
while incising the anterior uterine wall during planned cesarean section, practitioners noted its thickness to be about 2 cm or more. Ultrasonography showed that the thickness was 5.5-8.5 cm. The reason for this discrepancy was the development of traumatic local hypertone at the moment of dissection of the anterior uterine wall.


CONCLUSIONS
the different estimation of the myometrial thickness is associated not only with methodological differences (clinical and echographic), but also with the physiological features of the uterus as a muscular organ that is able to rapidly alter its thickness during labor pains and its traumatization during cesarean section or amniocentesis.
Glushko
A A
AA
D005260:Female; D005865:Gestational Age; D006801:Humans; D011247:Pregnancy; D011256:Pregnancy Outcome; D011379:Prognosis; D015203:Reproducibility of Results; D016216:Ultrasonography, Prenatal / Q000379:methods*; D014599:Uterus / Q000000981:diagnostic imaging*