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

S

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

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

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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