Obstetrical blood loss is an important reason of maternal morbidity and mortality. Because of the increase in the rate of cesarean section, any procedure that could help reduce blood loss during cesarean section should be investigated. The purpose of this study was to compare 2 methods of blunt expansion of the uterine incision at the time of cesarean delivery: transversal vs. cephalad-caudad.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
839
Blunt expansion of the uterine incision by the physician separating the fingers in a cephalad-caudad direction.
Blunt expansion of the uterine incision by the physician separating the fingers in a transversal direction.
Saint Thomas Maternity Hospital
Panama City, Panama
Blood loss (hemoglobin level)
Difference in hemoglobin level between 24 hours pre-surgery and the hemoglobin level before leaving the hospital.
Time frame: 72 hours
Surgical complications
Number of cases of surgical complications (hematomas, unintended extension of the uterine incision, need for transfusion) between the two techniques.
Time frame: 72 hours
Unintented extension of uterine incision
Number of cases of unintended extension of the uterine incision during surgery between the two techniques.
Time frame: 72 hours
Hematoma formation
Number of cases of hematoma formation during or after between the two techniques.
Time frame: 72 hours
Need for transfusion
Number of cases that required a blood transfusion between the two techniques.
Time frame: 72 hours
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