{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T22:55:40Z","timestamp":1772751340114,"version":"3.50.1"},"reference-count":11,"publisher":"S.C. JURNALUL PENTRU MEDICINA SI VIATA S.R.L","issue":"4","license":[{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMedLife"],"abstract":"<jats:p>Postpartum hemorrhage is a leading cause of maternal mortality. Various methods can be used to evaluate the postpartum uterine cavity volume. This work aims to introduce a simple method for uterine postpartum cavity volume evaluation, called Postpartum Uterine Ultrasonographic Scale (PUUS), which could be used routinely. In this prospective study, 131 consecutive Caucasian patients were evaluated by using the PUUS method. The mean age was 27.72 years (ranging from 15 to 42). Patients were examined in the same time intervals: within the first 24-48 hours after delivery in case of vaginal delivery, and within the first 48-72 hours, in case of cesarean delivery. Patients with PUUS grades 2, 3, or 4 were reexamined daily until the PUUS grade declined to 1 or 0. The PUUS method evaluated the length of the endometrium of the uterine cavity occupied by blood or debris, from grade 0 (no blood) to grade 4 (over three-quarters of the endometrial length occupied by blood\/debris). The PUUS grade of uterine involution varied with the day of examination, gestation, and parity. In this article, a novel method of evaluating uterine postpartum involution titled PUUS is introduced. This method standardized uterine cavity involution in a numerical fashion. We hope that the PUUS scale could further be used to decrease the morbidity and mortality of women due to postpartum hemorrhage.<\/jats:p>","DOI":"10.25122\/jml-2020-0107","type":"journal-article","created":{"date-parts":[[2021,10,15]],"date-time":"2021-10-15T06:43:51Z","timestamp":1634280231000},"page":"511-517","source":"Crossref","is-referenced-by-count":1,"title":["Postpartum Uterine Ultrasonographic Scale: a novel method to standardize the assessment of uterine postpartum involution"],"prefix":"10.25122","volume":"14","author":[{"given":"Roxana","family":"Covali","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Radiology, Elena Doamna Obstetrics and Gynecology University Hospital, Iasi, Romania","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Roxana Covali, MD, PhD, Department of Radiology, Elena Doamna Obstetrics and Gynecology University Hospital, 49, Elena Doamna Street, 700398 Iasi, Romania. Phone: +40 232 210 390\/251; Fax: 0040 232 210 396; E-mail: rcovali@yahoo.com","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Demetra","family":"Socolov","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Obstetrics and Gynecology, Cuza Voda Obstetrics and Gynecology University Hospital, Iasi, Romania","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Razvan Vladimir","family":"Socolov","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Obstetrics and Gynecology, Elena Doamna Obstetrics and Gynecology University Hospital, Iasi, Romania","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mona","family":"Akad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"University of Medicine and Pharmacy Grigore T. Popa Iasi, Romania","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10755","published-online":{"date-parts":[[2021,8]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Newsome J, Martin JG, Bercu Z, Shah J, Shekhani H, Peters G. Postpartum hemorrhage. Tech Vasc Interv Radiol. 2017;20(4):266-273. doi:10.1053\/j.tvir.2017.10.007. Epub 2017 Oct 10.","DOI":"10.1053\/j.tvir.2017.10.007"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Chandraharan E, Krishna A. Diagnosis and management of postpartum haemorrhage. BMJ 2017 Sep 27;358:j3875. doi:10.1136\/bmj.j3875.","DOI":"10.1136\/bmj.j3875"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Higgins N, Patel SK, Toledo P. Postpartum hemorrhage revisited: new challenges and solutions. Curr Opin Anaesthesiol. 2019;32(3);278-281. doi: 10.1097\/ACO.0000000000000717.","DOI":"10.1097\/ACO.0000000000000717"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Belachew J, Axelsson O, Mulic-Kutvica A, Eurenius K. Longitudinal study of the uterine body cavity with three dimensional ultrasonography in the puerperium. Acta Obstet Gynecol Scand. 2012;91(10);1184-1190. doi: 10.1111\/j.1600-0412.2012.01418x.","DOI":"10.1111\/j.1600-0412.2012.01418.x"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"Diniz CP, Araujo Junior E, Lima MM, Guazelli CA, Moron AF. Ultrasound and Doppler assessment of uterus during puerperium after normal delivery. J Matern Fetal Neonatal Med. 2014;27(18):1905-1911. doi: 10.3109\/14767058.2014.882895.","DOI":"10.3109\/14767058.2014.882895"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"Ikeda A, Kondoh E, Chigusa Y, et al. Novel subtype of atonic postpartum hemorrhage: dynamic computed tomography evaluation of bleeding characteristics and the uterine cavity. J Matern Fetal Neonatal Med. 2019 Jan 31:1-7. doi: 10.1080\/14767058.2019.1571033. [Epub ahead of print].","DOI":"10.1080\/14767058.2019.1571033"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Zhang SH, Zhabg JY, Zhang J, Chen WL, Zhou Q. Use of postpartum magnetic resonance imaging for diagnosis and classification of retained placenta tissue. J Comput Assist Tomogr. 2019;43(1):128-135. doi: 10.1097\/RCT.0000000000000791.","DOI":"10.1097\/RCT.0000000000000791"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Paliulyte V, Drasutiene GS, Ramasauskaite D, Bartkeviciene D, Zakareviciene J, Kurmanavicius J. Physiological uterine involution in primiparous and multiparous women: ultrasound study. Obstet Gynecol Int. 2017;2017:6739345. doi: 10.1155\/2017\/6739345. Epub 2017 May 7.","DOI":"10.1155\/2017\/6739345"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"Kristoschek JH, Moreira de Sa RA, Silva FCD, Vellarde GC. Ultrasonographic evaluation of uterine involution in the early puerperium. Rev Bras Ginecol Obstet. 2017;39(4):149-154. doi: 10.1055\/s-0037-1601418. Epub 2017 Apr 01.","DOI":"10.1055\/s-0037-1601418"},{"key":"ref10","doi-asserted-by":"crossref","unstructured":"Schweizer C, Boulot P, Dumont C. Ultrasound appearance of the area of uterine closure in asymptomatic patients at 48 hours of uneventful cesarean section. Gynecol Obstet Fertil. 2015;43(12):810-814. doi: 10.1016\/j.gyobfe.2015.09.010. Epub 2015 Oct 23.","DOI":"10.1016\/j.gyobfe.2015.09.010"},{"key":"ref11","unstructured":"Socolov R, Tanos V, Butureanu T, Akad M, Bumbu G, Socolov D. Rare cervico-vaginal malformation treated by hystero-laparoscopy and urological approach. Proceedings of the 14th National Congress of Urogynecology and The National Conference of The Romanian Association for the Study of Pain. Eforie, Romania. 2017:241-245 (ISBN:978-88-95922-98-0)."}],"container-title":["Journal of Medicine and Life"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/medandlife.org\/wp-content\/uploads\/JMedLife-14-511.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,15]],"date-time":"2021-10-15T06:44:13Z","timestamp":1634280253000},"score":1,"resource":{"primary":{"URL":"https:\/\/medandlife.org\/wp-content\/uploads\/JMedLife-14-511.pdf"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8]]},"references-count":11,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,8]]}},"alternative-id":["JMedLife-14-511"],"URL":"https:\/\/doi.org\/10.25122\/jml-2020-0107","relation":{},"ISSN":["1844-122X","1844-3117"],"issn-type":[{"value":"1844-122X","type":"print"},{"value":"1844-3117","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,8]]}}}