Sharp Versus Blunt Uterine Incision Expansion

Comparison Between Blunt Versus Sharp Expansion of Uterine Incision at Lower Segment Cesarean Section as Regards the Intra-operative Blood Loss & Postoperative Pain

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

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

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