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Method of predicting postpartum subinvolution of the uterus

https://doi.org/10.51922/1818-426X.2025.2.66

Abstract

To establish risk factors for the development of postpartum subinvolution of the uterus and to develop a method for predicting the development of the disease in a woman in labor.

Materials and methods. The study of risk factors for the development of postpartum subinvolution of the uterus was carried out using Wald’s sequential statistical analysis, calculating the Kullback information measure, based on Genkin-Gubler’s statistical technologies. The first group consisted of 49 women in labor with subinvolution of the uterus and the second – 47 women in labor with a normal course of labor and the postpartum period. In accordance with A. Wald’s method, the diagnostic coefficients of each of the signs were calculated using the formula and the informativeness of the sign.

Results. Based on the obtained point estimates of risk factors, a method for predicting the development of postpartum subinvolution of the uterus was developed. The total quantitative point estimate on the scale indicates the probability of PSM development. With a score of more than 15 points, a high risk is predicted, with a score of 7 to 15 points – an average risk, and with a score of less than 7 points – a low risk of developing PSM, and if one of the signs with a score of 6 on the scale is detected, the risk should be considered high.

About the Authors

I. Veres
УО «Белорусский государственный медицинский университет»; УЗ «3 городская клиническая больница имени Е. В. Клумова»
Belarus


V. Socol
УО «Белорусский государственный медицинский университет»; УЗ «3 городская клиническая больница имени Е. В. Клумова»
Belarus


O. Sereda
УО «Белорусский государственный медицинский университет»; Городской клинический родильный дом № 2
Belarus


V. Belko
УО «Белорусский государственный университет»
Belarus


R. Mikushkina
Городской клинический родильный дом № 2
Belarus


References

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Review

For citations:


Veres I., Socol V., Sereda O., Belko V., Mikushkina R. Method of predicting postpartum subinvolution of the uterus. Medical Journal. 2025;(2):66-70. (In Russ.) https://doi.org/10.51922/1818-426X.2025.2.66

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ISSN 1818-426X (Print)