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 PDF (1.95 MB) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ebwhj.2019.17714.1036 | ||||
View on SCiNiTO | ||||
Authors | ||||
Adel M Nada 1; Emad Issak 2; Khaled Kholaif3; Haitham Torkey 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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