The aim of study is to compare skin-to-delivery time and postoperative morbidity between extraperitoneal cesarean and transpirational cesarean.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
210
Pfannenstiel-Kerr technique for laparatomy and uterine entry
Pfannenstiel incision, paravesical approach to lower uterine segment extraperitoneally and Kerr incision for uterine entry
Atatürk Üniversitesi Araştırma Hastanesi
Erzurum, Turkey (Türkiye)
Skin-to-delivery time
Time frame: 1 minute after delivery
Postoperative pain
Pain will be measured by VAS
Time frame: 24 and 48 hour after cesarean
Operation time
skin-to-skin operation time
Time frame: Two minutes after surgery
Hemoglobin differences
Time frame: One hour before cesarean and 48 hours after cesarean
Need for analgesic
All analgesic given after cesarean at hospital
Time frame: 24 and 48 hours after cesarean
Nausea
Nausea during surgery and after surgery
Time frame: Two minutes and 48 hours after cesarean
Vomiting
Nausea during and after surgery
Time frame: Two minutes and 48 hours after cesarean
Thoracic shoulder pain
Thoracic shoulder pain after surgery
Time frame: 48 hours after cesarean
Urogenital distress measured by Urogenital Distress Inventory
Time frame: One hour before cesarean and 24 hours after cesarean
Oral intake
The percentage of patients who tolerates oral intake. Oral intake will be allowed 4-6 hours after cesarean for extraperitoneal group. For intraperitoneal group it will be allowed when patient passed gas.
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Time frame: 12 and 24 hours postoperatively
Anxiety during surgery
Intense fear or anxiety during surgery without pain (yes or no)
Time frame: One minute after cesarean
Pain during surgery
Abdominal pain during surgery (yes or no)
Time frame: One minutes after surgery