Uterine Artery Hemodynamic Changes Due to a Cervical Traction Maneuver (Amr’s Maneuver) : Randomized Controlled Study
Nada, A., Issak, E., Kholaif, K., Torkey, H., Fawzy, I., Mohsen, R. (2021). Uterine Artery Hemodynamic Changes Due to a Cervical Traction Maneuver (Amr’s Maneuver) : Randomized Controlled Study. EKB Journal Management System, 11(1), 90-97. doi: 10.21608/ebwhj.2019.17714.1036
Adel M Nada; Emad Issak; Khaled Kholaif; Haitham Torkey; Ibrahim Fawzy; Reham Mohsen. "Uterine Artery Hemodynamic Changes Due to a Cervical Traction Maneuver (Amr’s Maneuver) : Randomized Controlled Study". EKB Journal Management System, 11, 1, 2021, 90-97. doi: 10.21608/ebwhj.2019.17714.1036
Nada, A., Issak, E., Kholaif, K., Torkey, H., Fawzy, I., Mohsen, R. (2021). 'Uterine Artery Hemodynamic Changes Due to a Cervical Traction Maneuver (Amr’s Maneuver) : Randomized Controlled Study', EKB Journal Management System, 11(1), pp. 90-97. doi: 10.21608/ebwhj.2019.17714.1036
Nada, A., Issak, E., Kholaif, K., Torkey, H., Fawzy, I., Mohsen, R. Uterine Artery Hemodynamic Changes Due to a Cervical Traction Maneuver (Amr’s Maneuver) : Randomized Controlled Study. EKB Journal Management System, 2021; 11(1): 90-97. doi: 10.21608/ebwhj.2019.17714.1036

Uterine Artery Hemodynamic Changes Due to a Cervical Traction Maneuver (Amr’s Maneuver) : Randomized Controlled Study

Evidence Based Women's Health Journal
Article 11, Volume 11, Issue 1, February 2021, Page 90-97  XML PDF (1.95 MB)
Document Type: Original Article
DOI: 10.21608/ebwhj.2019.17714.1036
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Authors
Adel M Nada email 1; Emad Issakorcid 2; Khaled Kholaif3; Haitham Torkeyorcid 4; Ibrahim Fawzy5; Reham Mohsen3
1Department of Gynecology and Obstetrics, Faculty of Medicine, Cairo University, Egypt
2Specialist, ClinAmygate, Cairo, Egypt
3Lecturer, Department of Gynecology and Obstetrics, Faculty of Medicine, Cairo University, Egypt.
4Associate professor, Department of Gynecology and Obstetrics, Faculty of Medicine, October 6th University, Egypt.
5Resident, Department of Gynecology and Obstetrics, Faculty of Medicine, Cairo University, Egypt.
Abstract
Aim: This study aimed to measure the impacts of cervical traction on the uterine artery hemodynamics.
Materials and Methods: This study was a randomized-controlled trial. The primary outcome measure was the uterine artery hemodynamics indices: end diastolic velocity (EDV) and systolic/diastolic velocity ratio (S/D ratio).
Results: The study was conducted in one institution in Cairo from January-2017 to March-2017 with 12-month follow up period. Both groups were comparable (p-value > 0.05) with regard to the age, BMI, heart rate, blood pressure, gravidity, parity as well as episiotomy. There was no difference (P> 0.05) between the two groups regarding vital signs after the intervention. All the patients tolerated the procedure with mild sedation. PSV, EDV, S/D, PI and RI were comparable between both groups before the intervention. However, PSV, S/D ratio, RI and PI were significantly higher (p-values < 0.001) in the study group than the control group after the intervention. On the other hand, EDV was significantly lower in the study group than the control group after the intervention (p-value < 0.001). During the follow-up period, no adverse events reported.
Conclusion: Amr’s maneuver is effective in changing the uterine artery hemodynamics indices in the direction of decreasing the uterine artery blood flow.
Keywords
Amr’s Maneuver; cervical traction; end diastolic velocity; peak-systolic velocity; Postpartum hemorrhage; pulsatility index; resistance index; systolic/diastolic velocity ratio
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