Blood Loss During Cesarean Section. Comparing Two Techniques of Blunt Expansion of Uterine Incision: Transversal vs. Cephalad-caudad,

Saint Thomas Hospital (HST)

Status: Completed

Conditions: Blunt Expansion of the Uterine Incision

Treatments: Procedure: Cephalad-caudad expansion; Procedure: Transversal expansion

Study type: Interventional

Funder types: Other

Identifiers

NCT01892215

MHST2012-08

Details and patient eligibility

About

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.

Enrollment: 839 patients

Sex: Female

Volunteers: No Healthy Volunteers

Inclusion criteria

• Singleton pregnancies
• Gestational age: 34 weeks or more
• Delivery by cesarean section
• Presurgical hemoglobin > 10.5 g/dL

Exclusion criteria

• Two or more previous cesarean sections
• History of uterine rupture in a previous pregnancy
• History of myomectomy
• History of abdominal trauma with an uterine lesion
• Blood dyscrasia
• Multiple pregnancy
• Placenta previa
• Abruptio placenta
• Stillbirth
• Sharp uterine expansion

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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839 participants in 2 patient groups

Cephalad-caudad

Experimental group

Description:

Blunt expansion of the uterine incision by the physician separating the fingers in a cephalad-caudad direction.

Treatment:

Procedure: Cephalad-caudad expansion

Transversal expansion

Experimental group

Description:

Blunt expansion of the uterine incision by the physician separating the fingers in a transversal direction.

Treatment:

Procedure: Transversal expansion