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

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

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.

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