Comparison Between Blunt Versus Sharp Expansion of Uterine Incision at Lower Segment Cesarean Section as Regards the Intra-operative Blood Loss & Postoperative Pain
试验速览
- 阶段
- 2 期
- 发起方
- 入组人数
- 200
- 试验地点
- 2
- 主要终点
- The operative time is recorded in minutes
研究概览
简要总结
comparison between blunt versus sharp expansion of uterine incision at lower segment cesarean section in primigravida as regards the intra-operative blood loss & postoperative pain
详细描述
the study includes 200 pregnant women, primigravidas, at term who underwent elective transverse lower segment Cesarean section for the first time among the age group of 20 - 37 years with a singleton pregnancy.
The patients are divided randomly into two groups as follows:
- Group (A): undergoing blunt uterine incision expansion
- Group (B): undergoing sharp uterine incision expansion
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 20 Years 至 37 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •singleton pregnancy.
排除标准
- •previous PID
- •any medical or psychiatric
- •patients with BMI ≥ 40
- •multigravidas
- •chronic analgesia use,
- •allergy to analgesics,
- •multiple pregnancies are also excluded
研究组 & 干预措施
• Group (A) blunt incision
100 primigravidas at term who underwent elective transverse lower segment Cesarean section for the first time among the age group of 20 - 37 years with a singleton pregnancy.
undergoing blunt uterine incision expansion
干预措施: blunt uterine incision expansion (Procedure)
• Group (B) sharp incision
100 primigravidas, at term who underwent elective transverse lower segment Cesarean section for the first time among the age group of 20 - 37 years with a singleton pregnancy undergoing sharp uterine incision expansion
干预措施: sharp uterine incision expansion (Procedure)
结局指标
主要结局
The operative time is recorded in minutes
时间窗: from skin incision till skin closure
The operative time is recorded in minutes
intraoperative bleeding
时间窗: from skin incision till skin closure
The intra-operative blood loss is evaluated by towels as follows: The surgical towels will be weighed (gm) before and after the operation, and the difference in weight between dry and soaked towels will be calculated. Blood loss during the operation will be calculated by adding the volume of the contents of the suction bottle (ml) to the difference in weight of towels (gm) (weight of soaked towels - weight of dry towels).
post operative pain
时间窗: one hour after cs
Post-operative pain is analyzed by using 4 point verbal rating scale (VRS) which consists of a list of adjectives describing different levels of pain intensity i.e (no pain =1, mild pain = 2, moderate pain = 3, severe pain = 4)
次要结局
未报告次要终点
研究者
sarah mohamed hassan
lecturer of obstetrics and gynecology
Kasr El Aini Hospital