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
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
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
DOUBLE
Enrollment
200
blunt uterine incision expansion
sharp uterine incision expansion
Kasr El Ainiy Hospital
Cairo, Egypt
post operative pain
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)
Time frame: one hour after cs
intraoperative bleeding
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).
Time frame: from skin incision till skin closure
The operative time is recorded in minutes
The operative time is recorded in minutes
Time frame: from skin incision till skin closure
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