Caesarean section is one of the most commonly performed abdominal operations on women in most countries of the world. Its rate has increased markedly in recent years, and is about 20-25% of all child-births in most developed countries. The present study was a step to reduce postoperative pain in cesarean sections. Because of the large number of women that undergo caesarean section, even small differences in post-operative morbidity rates due to different techniques could translate into improved health and significant savings of cost and health services resources. Closing the rectus sheath in cesarean sections with the knots pricking through the skin causes significant postoperative pain, discomfort and delayed ambulation. No comments in literature regarding the best way for closing the rectus sheath in cesarean sections. AIM/ OBJECTIVES The aim of this study is to assess the efficacy of burying knots beneath the rectus sheath during cesarean section in reducing post operative pain and discomfort. Study hypothesis: In women undergoing cesarean sections may or may not burying knots beneath the rectus sheath reduce the post operative pain and discomfort.
Non absorbable and delayed absorbable monofilament materials require meticulous care to prevent knot slippage. One common problem that arises from use of these materials is the discomfort caused by the knot pricking through the skin. Although this is a common problem after cesarean section, it is often overlooked and only very few preventive techniques have been described. This study is to assess the efficacy of burying knots beneath the rectus sheath during cesarean sections in reducing post operative pain and discomfort. Type of Study : A randomized controlled clinical trial. Study Setting :this study will be conducted at the department of Obstetrics and Gynecology at Ain-Shams University Maternity hospital. Study time: 2019. Study Population : The study population comprises pregnant women, fulfilling the inclusion criteria, attending to Ain Shams University Maternity Hospital, during the study period, who are planned for cesarean delivery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE
Enrollment
358
surgical suturing intervention
surgical suturing intervention
Ahmed Ibrahim
Cairo, Egypt
changing the post operative pain and discomfort
by Visual Analogue pain Scale (0) means no pain ,( 10) means sever pain.
Time frame: the first twenty-four hours after delivery.
changing the post operative pain and discomfort
by Visual Analogue pain Scale (0) means no pain ,( 10) means sever pain.
Time frame: one week after delivery
changing the post operative pain and discomfort
by Visual Analogue pain Scale from ,(0) which means no pain to ( 10) means sever pain.
Time frame: two weeks after delivery.
wound assessment for suture granuloma formation
by scar tissue palpation for ( presence ) or (absence) of a forming mass.
Time frame: one week post operative
early ambulation after cesarean section
by observation and history taking , early ambulation within two hours post operative (yes) or (no)
Time frame: two hours after delivery
early breast feeding after cesarean section
by observation and history taking, early breast feeding within two hours post operative (yes) or (no)
Time frame: two hours after delivery
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