Measurement of Uterus Sizes Of Multiparous Women using Ultrasound THE THERAPIST

Human uterus is a pear-shaped bromuscular organ. The measurements of a typical uterus are 7.6x4. 5x3cm. The uterus grows slowly during fetal life until the end of the rst trimester when it grows at a higher rate due to increased maternal oestrogen production. As a result of this continuation of the maternal oestrogen the uterus shrinks immediately after delivery. Objective: To evaluate uterus size in multiparous women using ultrasound. Methods: It was a cross-sectional study carried out at private sector hospital of Gujrat over 4 months period from December 2021 to March 2022. The sample size was 41 calculated via a convenient sampling approach from previously published studies. Multiparous women following ultrasound examination during the study period were included after receiving informed consent. The patients' demographic statistics were collected on a specially designed data collecting sheet. The data was analyzed using the SSPS V20 program. Results: The average length was 7.9±1.15, width was 4.3±0.77, and thickness 3.5±0.66. There was no signicant correlation between uterine size (length, width, thickness) and many parities because the value in the "Sig. (2-tailed)" is 0.607, 0.640, and 0.983 respectively which is more than 0.05. Conclusion: The current study found no correlation between the number of parities and the length, width, and thickness diameters of the uterus. Multiparous Uterus Of Multiparous

Human uterus is a pear-shaped bromuscular organ. The measurements of a typical uterus are 7.6x4. 5x3cm. The uterus grows slowly during fetal life until the end of the rst trimester when it grows at a higher rate due to increased maternal oestrogen production. As a result of this continuation of the maternal oestrogen the uterus shrinks immediately after delivery. Objective: To evaluate uterus size in multiparous women using ultrasound. Methods: It was a cross-sectional study carried out at private sector hospital of Gujrat over 4 months period from December 2021 to March 2022. The sample size was 41 calculated via a convenient sampling approach from previously published studies. Multiparous women following ultrasound examination during the study period were included after receiving informed consent. The patients' demographic statistics were collected on a specially designed data collecting sheet. The data was analyzed using the SSPS V20 program. Results: The average length was 7.9±1.15, width was 4.3±0.77, and thickness 3.5±0.66. There was no signi cant correlation between uterine size (length, width, thickness) and many parities because the value in the "Sig. (2-tailed)" is 0.607, 0.640, and 0.983 respectively which is more than 0.05.Conclusion: The current study found no correlation between the number of parities and the length, width, and thickness diameters of the uterus. which increases the risk to 0.5 percent [12]. Medical reasons force about a quarter of women who have had a previous cesarean delivery to deliver early. Labor induction during TOLAC (trial of labor after cesarean delivery) raises the risk of uterine rupture even more. The danger is considered to be between 1.4 and 2.3 percent [13]. The uterus grows slowly during fetal life until the end of the rst trimester when it grows at a higher rate due to increased maternal estrogen production. As a result of this continuation of the maternal oestrogen the uterus shrinks immediately after delivery. Uterine length is less than 35 mm between the ages of 2 and 8 with an anteroposterior diameter of 10 mm [14,10]. Subjects are scanned in a supine position in both longitudinal and transverse plans in US examination [15]. The uterine assessment, such as pelvic ultrasound, should be part of the rst evaluation of women who have lost several pregnancies [16]. The post-cesarean uterus is frequently ante exed, and myometrial loss of about 50% is common [17]. The uterine exion angle can be changed to a more retro exed position after a caesarean delivery [18]. Gigantic polyps are most common in multiparous women in their 50s. At the time of presentation, these giants cervical polyps are usually misdiagnosed as malignant neoplasm. In multiparous women with something is coming out per vagina, a huge polyp of the cervix anterior lip occurs [19]. Curettage between the 2nd and 4th weeks after delivery is most likely than any other endometrial trauma to produce adhesions. Infertility, recurrent abortion, or menstrual irregularity following any uterine trauma should alert the doctor to the possibilities of intrauterine adhesions. Uterine myomas are the most frequent benign solid pelvic tumors in women, a f fe c t i n g 2 0 -2 5 % o f r e p r o d u c t i ve -a g e wo m e n. Dysmenorrhea, repeated pregnancy loss, and premature birth are all symptoms of submucosal myomas [20]. The mullerian ducts didelphys is a rare congenital abnormality of the uterus [21]. Uterine broids are one of the most common uterine disorders affecting roughly 12% to 25% of women of reproductive age. Menorrhagia, frequent urination, and dysmenorrhea are all indications of benign neoplasm [22]. Over 10% of all pregnancies are complicated by preeclampsia (PE) and fetal growth restrictions (FGR) which contributes considerably to fetal and maternal morbidity and mortality [23]. A tangle of aberrant arteriovenous connections in or around the uterus is known as a uterine vascular malformation(UVM) [24]. On the 10th day, the endometrial cavity was substantially bigger in multiparous women, and the uterine cavity was mostly echo-negative [25]. The current study was intended to measure uterus dimension in multiparous w o m e n u s i n g u l t r a s o u n d a n d t o c o r r e l a t e t h e measurement of uterus with number of parities. This    Table 2 shows the uterus length, width, and thickness with an average length measuring 7.9±1.15, width 4.3±0.77, and thickness 3.5±0.67.
A cross-sectional study was conducted in the department of Radiology of a private sector hospital in Gujrat, Pakistan. Subjects for this study were only female from 20 to 50 years who have undergone ultrasound examination, this study was conducted over 4 months from December 2021 to March 2022. A total of 41 patients were selected using a convenient sampling approach. An informed written consent form was also signed by patients. The ultrasound was done using a 3.5 MHz probe. The patients demographic statistics were collected on a specially designed data collecting sheet. The data were analyzed using the SSPS V20.0.

R E S U L T S
The current study was conducted among 41 females for the study measurement of uterus sizes in multiparous. The study was conducted among different age groups ranging from 20-50 years. Table 1 shows the number of parities among female patients with most females reported to the radiology department were having highest frequency 15 (36.6%) and least female reported low frequency 2(4.9%).  Table 3 shows the correlation between many parities and uterus length there is no signi cant relationship between them because the value in the "Sig. (2-tailed)" is 0.607 which is more than 0.05.

Pearson Correlation
Sig

D I S C U S S I O N
In conclusion, the average uterus length 7.9±1.15, width 4.3±0.77, and thickness3.5±0.66 in diameters. The current study also found no correlation between the number of parities and the length, width, and thickness in diameters of the uterus. Furthermore, the study found that uterus length, width, and thickness in diameters had no signi cant link with patient age, weight, or height.

Pearson Correlation
Sig  Table 4: Correlation between number of parity and uterus width Table 5 shows the correlation between number of parity and thickness there is no signi cant relationship between them because the value in the "Sig. (2-tailed)" is 0.983 which is more than 0.05.  [3]