Comparison Between Blunt Versus Sharp Expansion of Uterine Incision at Lower Segment Cesarean Section as Regards the Intra-operative Blood Loss & Postoperative Pain
Overview
- Phase
- Phase 2
- Intervention
- Not specified
- Conditions
- Cesarean Section Complications
- Sponsor
- Kasr El Aini Hospital
- Enrollment
- 200
- Locations
- 1
- Primary Endpoint
- The operative time is recorded in minutes
- Last Updated
- 8 years ago
Overview
Brief Summary
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
Detailed Description
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
Investigators
sarah mohamed hassan
lecturer of obstetrics and gynecology
Kasr El Aini Hospital
Eligibility Criteria
Inclusion Criteria
- •singleton pregnancy.
Exclusion Criteria
- •previous PID
- •any medical or psychiatric
- •patients with BMI ≥ 40
- •multigravidas
- •chronic analgesia use,
- •allergy to analgesics,
- •multiple pregnancies are also excluded
Outcomes
Primary Outcomes
The operative time is recorded in minutes
Time Frame: from skin incision till skin closure
The operative time is recorded in minutes
intraoperative bleeding
Time Frame: 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
Time Frame: 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)