Volume 11, Issue 2 (Summer 2007)                   J Qazvin Univ Med Sci 2007, 11(2): 33-36 | Back to browse issues page

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Abstract:   (8676 Views)
Abstract Background: Reduction in amount of bleeding during cesarean delivery has a considerable impact on maternal health. Objective: To determine whether the method used to expand the uterine incision for caesarean delivery affects the incidence of intra-operative hemorrhage. Methods: This was a clinical, single blind trial, carried out at Kosar Hospital, Qazvin (Iran) during 2003-2004. The study population consisted of 1000 women who were randomly subjected to cesarean delivery with sharp or blunt expansion method. Demographic information, pre- and 48 hr post-operative hemoglobin and hematocrit levels were recorded. The data were further analyzed using SPSS software, chi-square pair, and t-test. Findings: Compared with the blunt group, change in mean hematocrit (4.18±2.8 versus 3.36±2.7 or 10.9% versus 8.92%, p<0.001), incidence of postpartum hemorrhage (57.6% versus 42%, p<0.005) were significantly greater in the sharp group. Conclusion: In cesarean delivery, sharply expanding of uterine incision significantly increases intra-operative blood loss.
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Type of Study: Research | Subject: Obsterics & Gynecology