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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cephalad-caudad | Experimental | Blunt expansion of the uterine incision by the physician separating the fingers in a cephalad-caudad direction. |
|
| Transversal expansion | Experimental | Blunt expansion of the uterine incision by the physician separating the fingers in a transversal direction. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cephalad-caudad expansion | Procedure | Blunt expansion of the uterine incision by the physician separating the fingers in a cephalad-caudad direction. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Blood loss (hemoglobin level) | Difference in hemoglobin level between 24 hours pre-surgery and the hemoglobin level before leaving the hospital. | 72 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Surgical complications | Number of cases of surgical complications (hematomas, unintended extension of the uterine incision, need for transfusion) between the two techniques. | 72 hours |
| Unintented extension of uterine incision |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Osvaldo Reyes, MD | Saint Thomas Maternity Hospital | Principal Investigator |
| Alberto Morales, MD | Saint Thomas Maternity Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Saint Thomas Maternity Hospital | Panama City | Panama |
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| Transversal expansion | Procedure | Blunt expansion of the uterine incision by the physician separating the fingers in a transversal direction. |
|
Number of cases of unintended extension of the uterine incision during surgery between the two techniques.
| 72 hours |
| Hematoma formation | Number of cases of hematoma formation during or after between the two techniques. | 72 hours |
| Need for transfusion | Number of cases that required a blood transfusion between the two techniques. | 72 hours |