The Role of Digital Cervical Opening in Elective Cesarean Section
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Assiut University
- Enrollment
- 300
- Locations
- 1
- Primary Endpoint
- The amount of postpartum blood loss (ml)
Study Overview
Brief Summary
Cesarean delivery is one of the most commonly performed surgical operations worldwide Cesarean delivery even as an elective procedure has been associated with considerable maternal risks compared with vaginal delivery. Some of the complications include postpartum hemorrhage, uterine infection, urinary tract infection, wound infection, septicemia and maternal death. Over the years, many variations in the surgical technique of Cesarean delivery have been employed with the main purpose of improving its safety. A woman's cervix is firm and undilated at the beginning of pregnancy, but progressive remodeling occurs during gestation until the cervix is soft at term, especially the nulliparous cervix . The progressive dilatation of the cervix needs uterine contraction during labor. A mechanical dilatation of the cervix at cesarean section is defined as an artificial dilatation of the cervix performed by finger, sponge forceps or other instruments at non-labor cesarean section. According to a cochrane view The information currently available about the advantages of cervical dilatation at cesarean section is inconclusive. This may be due to small sample sizes and low power of statistic.
Study Design
- Study Type
- Observational
- Observational Model
- Other
- Time Perspective
- Cross Sectional
Eligibility Criteria
- Ages
- 18 Years to 40 Years (Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •All women scheduled for elective cesarean section will be approached.
- •Women accepted to participate in the study participation after discussing the nature of the study.
Exclusion Criteria
- •Immuno-compromised women.
- •Women suffering from any coagulation disorder or Blood disease.
- •Blood transfusion during surgery or before it.
- •History of wound infection or endometritis .
- •Ante partum hemorrhage.
- •History of long corticosteroid use.
- •Women refuse to participate in the study.
- •Suspected clinical evidence of infection.
- •anemic women
- •Multiple pregnancy
- •Preterm births
- •Rupture of membranes or chorioamnionitis
- •Women who use antibiotics during the last 24 hours due to any infection but not prophylactic antibiotic during caesarian section
- •Emergency caesarean section
Outcomes
Primary Outcomes
The amount of postpartum blood loss (ml)
Time Frame: 24 hours
Secondary Outcomes
No secondary outcomes reported
Investigators
Mohammed Khairy Ali
Lecturer
Assiut University