Sharp Versus Blunt Uterine Incision Expansion

Kasr El Aini Hospital

Status and phase: Unknown; Phase 3; Phase 2

Conditions: Cesarean Section Complications

Treatments: Procedure: sharp uterine incision expansion; Procedure: blunt uterine incision expansion

Study type: Interventional

Funder types: Other

Identifiers

NCT03377894

336695

Details and patient eligibility

About

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

Full description

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

Enrollment: 200 estimated patients

Sex: Female

Ages: 20 to 37 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• singleton pregnancy.

Exclusion criteria

• previous PID
• any medical or psychiatric
• patients with BMI ≥ 40
• multigravidas
• chronic analgesia use,
• allergy to analgesics,
• multiple pregnancies are also excluded

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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200 participants in 2 patient groups

• Group (A) blunt incision

Active Comparator group

Description:

100 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. undergoing blunt uterine incision expansion

Treatment:

Procedure: blunt uterine incision expansion

• Group (B) sharp incision

Active Comparator group

Description:

100 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 undergoing sharp uterine incision expansion

Treatment:

Procedure: sharp uterine incision expansion