Does ligation of internal iliac artery for postpartum hemorrhage affect clitoral artery blood flow and postpartum sexual functions?

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dc.contributor.authorKaya, B.
dc.contributor.authorUsluogullari, B.
dc.contributor.authorYurttutan, N.
dc.contributor.authorSahan, M. H.
dc.contributor.authorGueralp, O.
dc.contributor.authorMalik, E.
dc.date.accessioned2020-06-25T18:22:35Z
dc.date.available2020-06-25T18:22:35Z
dc.date.issued2017
dc.departmentKırıkkale Üniversitesi
dc.descriptionKaya, Baris/0000-0002-2773-1132;
dc.description.abstractObjective: To investigate whether internal iliac artery ligation (IIAL) for postpartum hemorrhage (PPH) affects the sexual life in the postpartum period or significantly reduces the clitoral artery blood flow. Study design: The women who underwent IIAL due to PPH during cesarean section (CS) were compared with healthy postpartum women delivered by CS between October 2014 and February 2016 in the Gaziantep Women's Health and Maternity Hospital, Gaziantep, Turkey. Clitoral Doppler flow measurements and the Female Sexual Function Index questionnaire (FSFIQ) were performed in all women in the 3rd and 6th postpartum months. This study was registered at ClinicalTrials.gov with the identification number NCT02409602. Results: Mean age, gravidity and parity, body mass index (BMI), first sexual intercourse after childbirth, and education years were similar in both groups. There was no statistically significant difference in the measurements of RI, PI, PSV, EDV, and S/D between the study and control groups in the 3rd month. Lack of statistical significance was also noted between the study and control groups values in the 6th month, as well as between the 3rd and 6th month's values within both the study group and the control group. Additionally, there were no statistically significant differences in the total FSFI scores including sexual desire, sexual arousal, lubrication, orgasm, sexual satisfaction, and pain domain scores between the study and control groups in the 3rd month; between the study and control groups 6th months; whereas all scores were higher in the 6th month compared to the 3rd month within each group. Conclusion: IIAL does not affect the blood flow of the dorsal clitoral artery between the 3rd and 6th months postpartum and between the women who underwent IIAL due to PPH and healthy postpartum women. The sexual function scores were significantly higher in the 6th month compared to the 3rd month in both groups. (C) 2017 Elsevier B.V. All rights reserved.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1016/j.ejogrb.2017.10.029
dc.identifier.endpage128en_US
dc.identifier.issn0301-2115
dc.identifier.issn1872-7654
dc.identifier.pmid29102811
dc.identifier.scopus2-s2.0-85032662377
dc.identifier.scopusqualityQ2
dc.identifier.startpage124en_US
dc.identifier.urihttps://doi.org/10.1016/j.ejogrb.2017.10.029
dc.identifier.urihttps://hdl.handle.net/20.500.12587/6820
dc.identifier.volume219en_US
dc.identifier.wosWOS:000418213400020
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Science Bven_US
dc.relation.ispartofEuropean Journal Of Obstetrics & Gynecology And Reproductive Biology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectClitoral arteryen_US
dc.subjectDoppler ultrasonographyen_US
dc.subjectInternal iliac arteryen_US
dc.subjectPostpartum hemorrhageen_US
dc.subjectPostpartum sexual functionsen_US
dc.titleDoes ligation of internal iliac artery for postpartum hemorrhage affect clitoral artery blood flow and postpartum sexual functions?en_US
dc.typeArticle

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