Endometrium changes after caesarean and vaginal delivery

Purpose

The thickness of the endometrium can give an idea about postpartum hemorrhage in the evaluation made via ultrasound. There is no consensus on the normal values of postpartum endometrial thickness. In our study, we aimed to examine the difference in endometrial thickness between puerperium of vaginal and cesarean delivery.

Material and Methods

In our study, endometrial thickness was measured by ultrasonography in each volunteer 2 and 7 days after birth. In addition, breast examination was also performed, and no significant difference was found between the diseases accompanying the pregnancies of the volunteers and postpartum mastitis.

Results

While the mean endometrial thickness on the 2nd day after cesarean delivery was 12.1 mm, this value was measured as 12.4 mm in those who delivered vaginally. On the 7th day after birth, the endometrial thickness of the volunteers who gave birth by cesarean section was measured as 11.0 mm, while those who had vaginal delivery were measured as 10.3 mm. No significant difference was found between the diseases accompanying the pregnancy of the volunteers and postpartum mastitis.

Conclusion

When the endometrial thickness of the puerperant women was measured twice, it was observed that there was no difference between vaginal delivery and cesarean section groups. Among the parameters examined, it was seen that the main factor affecting postpartum endometrial thickness was labor induction and it was concluded that endometrial thicknesses were thinner on both the 2nd and the 7th days of the puerperium in induced deliveries.