Postpartum Hemorrhage Clinical Trial
Official title:
Comparison of the Dorsal Clitoral Artery Doppler Examination Results and the Female Sexual Function Index in Women With Postpartum Hemorrhage Who Underwent Bilateral Internal Iliac Artery Ligation and Age-matched Healthy Postpartum Women
Dorsal clitoral artery Doppler examinations in women with bilateral internal iliac artery ligation due to postpartum hemorrhage (study group) and age-matched healthy puerperal women were performed regularly in the postoperative period, in order to evaluate possible effects of BIIAL on clitoral blood flow.
Women who underwent bilateral internal iliac artery ligation due to postpartum hemorrhage in
Gaziantep Cengiz Gokcek Maternity Hospital, Gaziantep Turkey and Near East University,
Department of Obstetrics and Gynecology, Mersin, Turkey comprise the study group. The
control group consists of age-matched healthy women who delivered in last 2 months.
Dorsal clitoral artery Doppler examinations will be performed in both case and control
groups regularly in the postoperative period in 3rd and 6th months, in order to evaluate the
possible effects of BIIAL on clitoral blood flow. Ultrasound is performed using a Mindray
DC-7 Ultrasound System (China) equipped with linear 7.5 MHz probe. Each woman was scanned in
the gynecological position. The translabial probe is placed on the clitoris sagittally and
transversely without applying any pressure force. After identifying the clitoral artery
using colour flow mapping, the Doppler probe is positioned over the vessel and at least
three sequential Doppler wave forms are obtained. The following parameters are analysed:
peak systolic velocity (PSV), end diastolic velocity (EDV), resistive index (RI), pulsatile
index (PI) and systolic/diastolic (S/D) ratio. The measurements are performed by the same
radiologist.
Finally a Female Sexual Fantasy Questionnaire (FSFQ) is performed.
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Observational Model: Case Control, Time Perspective: Prospective
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