Document Detail

Uterine exteriorization versus intraperitoneal repair at caesarean section.
MedLine Citation:
PMID:  10796124     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: After caesarean delivery of the fetus and placenta, the uterus may be placed outside the mother to facilitate repair of the uterine incision.
OBJECTIVES: The objective of this review was to assess the effects of exteriorisation of the uterus, compared to the effects of uterine closure within the abdominal cavity.
SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group trials register.
SELECTION CRITERIA: Randomised and quasi-randomised trials of uterine exteriorisation for repair compared to intra-abdominal repair for pregnant women undergoing elective or emergency caesarean section.
DATA COLLECTION AND ANALYSIS: Two reviewers assessed trial quality and extracted the data.
MAIN RESULTS: Two trials involving 486 women were included. Neither trial was methodologically strong. Exteriorisation made no significant difference to blood loss. Exteriorisation was associated with fewer post-operative febrile days (fever more than three days, odds ratio 0.40, 95% confidence interval 0.17 to 0.94) and a non-significant trend towards fewer infections. There was also a non-significant trend towards more nausea and vomiting when exteriorisation was done under regional analgesia.
REVIEWER'S CONCLUSIONS: There is not enough information to evaluate the routine use of exteriorisation of the uterus for repair of the uterine incision.
C Wilkinson; M W Enkin
Related Documents :
11937144 - Successful pregnancy in a woman with symptomatic fibroids who underwent laparoscopic bi...
8458914 - Reproductive performance of women with uterine malformations.
23305414 - Antiepileptic drugs (aeds) during pregnancy and risk of congenital jaw and oral malform...
12858304 - Uterine contractions increase fetal heart preload.
2967454 - Idiopathic hydrops fetalis successfully treated in utero.
20947424 - Restless legs syndrome during pregnancy in brazilian women.
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Cochrane database of systematic reviews     Volume:  -     ISSN:  1469-493X     ISO Abbreviation:  Cochrane Database Syst Rev     Publication Date:  2000  
Date Detail:
Created Date:  2000-07-06     Completed Date:  2000-07-06     Revised Date:  2013-06-28    
Medline Journal Info:
Nlm Unique ID:  100909747     Medline TA:  Cochrane Database Syst Rev     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  CD000085     Citation Subset:  IM    
Department of Perinatal Medicine/University Department of Obstetrics & Gynaecology, Women's and Children's Hospital, 72 King William Road, North Adelaide, South Australia, Australia, 5006.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Cesarean Section* / methods
Update In:
Cochrane Database Syst Rev. 2004;(4):CD000085   [PMID:  15494988 ]

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

Previous Document:  External cephalic version for breech presentation before term.
Next Document:  Feeding schedules in hospitals for newborn infants.