Sharp Versus Blunt Fascial Incision at Caesarean Section

Sharp Versus Blunt Fascial Incision at Caesarean Section: A Prospective Randomized Double-blinded Case-Control Study With the Case as it's Own Control.

The purpose of this study is to compare sharp and blunt fascial entry during caesarean section on the same patient. The study is performed on woman having cesarean section for the first time and who have not previously had lower abdominal surgery done. The following parameters are registered:

1. The preferred side evaluated by the patient 3 months postoperatively.
2. The patient evaluated difference in pain on the right vs. left side 1, 3 and 7 days and 1 and 3 months postoperatively.
3. The rate and side of infection.

Inclusion Criteria:

• Woman having caesarean section for the first time
• Woman, who have had no previous lower abdominal surgery
• Woman who speak and understand Danish
• Woman who can give informed consent

Exclusion Criteria:

• Diabetes Mellitus (This does not include gestational diabetes)
• Infection
• Regular treatment with immunosuppressives
• Alcohol or drug abuse
• Age under 18 years old
• Chronic pain disease eg. fibromyalgia, rheumatoid arthritis
• BMI over 35