الفهرس 
Ultrasound & DopplerOnly 14 pages are availabe for public view
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Abstract
Summary
Postpartum hemorrhage (PPH) is a serious and life-threatening
obstetric complication. The most common cause is uterine atony (1).
Known risk factors for the occurrence of atonic PPH include a history
of PPH, history of retained placenta, placental abruption, placenta
previa, uterine fibroid, hydramnios, multiple pregnancies, augmentation
of labor, prolonged labor and instrumental delivery.
The conventional treatment for uterine atony is to initiate medical
treatment containing uterotonic agents. Additional surgical
interventions are used if medical treatment is not adequate.
Uterine artery ligation is one of the most common surgical
procedure for PPH as it is easy and quick. It can be used alone or with
other methods in PPH with a high success rate.
The study aims to evaluate the subendometrial blood flow &
uterine artery Doppler after its ligation for postpartum hemorrhage.
The study carried out at department of Obstetrics & Gynecology
of Tanta University Hospital, the study included two groups; the study
group included 30 patients who underwent successful Bilateral Uterine
Artery Ligation for control of Post-Partum hemorrhage (PPH), the
control group included 30 patients selected from those who have given
birth without complication during the same period and met the study
criteria.
Mid luteal Ultrasonographic evaluation for uterine artery and
subendometrial blood flow done 3 &6 months post-operative. Uterine