Document Detail

Maternal blood loss by expansion of uterine incision at caesarean section--a comparison between sharp and blunt techniques.
MedLine Citation:
PMID:  15631372     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: In order to minimize intra operative blood loss during caesarean section, two techniques of expansion of uterine incision (sharp versus blunt) while performing lower segment transverse caesareans deliveries and their effect upon intraoperative blood loss were studied. Moreover, each method was also compared for its inadvertent extension of uterine incision laterally or into the broad ligament, into the cervix or vagina. METHOD: A quasi-experimental study with convenient sampling, involving two groups of women who underwent lower transverse segment Cesarean section. Both groups were studied for their demographic characteristics and clinical data. Standard surgical techniques were used in both groups except the expansion of uterine incision, either by sharp or blunt methods. Finally a comparison of two groups was made regarding blood loss, change in haematocrit, blood transfusion and uterine tears. The study was conducted at Combined Military Hospital Rawalpindi during May 2002 to April 2003. RESULTS: No significant difference was found between the two groups regarding their demographic characteristics and clinical data. Intraoperative blood loss and post-operative hematocrit drop were more significant in the patient group in which a blunt uterine incision was made. Besides, more patients in this group received blood transfusions. Unintended extension of uterine (tears) was also significantly higher in this group. CONCLUSION: Sharp expansion of uterine incision during low segment caesarean section is safer and precise based on these results.
Nazli Hameed; Mohammad Asghar Ali
Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of Ayub Medical College, Abbottabad : JAMC     Volume:  16     ISSN:  1025-9589     ISO Abbreviation:  J Ayub Med Coll Abbottabad     Publication Date:    2004 Jul-Sep
Date Detail:
Created Date:  2005-01-05     Completed Date:  2005-03-24     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8910750     Medline TA:  J Ayub Med Coll Abbottabad     Country:  Pakistan    
Other Details:
Languages:  eng     Pagination:  47-50     Citation Subset:  IM    
Combined Military Hospital, Peshawar.
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MeSH Terms
Blood Loss, Surgical*
Blood Volume
Cesarean Section / adverse effects*,  instrumentation,  methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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