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Cesarean delivery is one of the most commonly performed surgical operations worldwide Cesarean delivery even as an elective procedure has been associated with considerable maternal risks compared with vaginal delivery. Some of the complications include postpartum hemorrhage, uterine infection, urinary tract infection, wound infection, septicemia and maternal death. Over the years, many variations in the surgical technique of Cesarean delivery have been employed with the main purpose of improving its safety. A woman's cervix is firm and undilated at the beginning of pregnancy, but progressive remodeling occurs during gestation until the cervix is soft at term, especially the nulliparous cervix . The progressive dilatation of the cervix needs uterine contraction during labor. A mechanical dilatation of the cervix at cesarean section is defined as an artificial dilatation of the cervix performed by finger, sponge forceps or other instruments at non-labor cesarean section. According to a cochrane view The information currently available about the advantages of cervical dilatation at cesarean section is inconclusive. This may be due to small sample sizes and low power of statistic.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A: cervical dilatation | patients who will have cervical dilatation during Caesarean section |
| |
| Group A: non cervical dilatation | patients who will have not cervical dilatation during Caesarean section |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Caesarean section | Procedure | Caesarean section will be done to deliver the baby |
|
| Measure | Description | Time Frame |
|---|---|---|
| The amount of postpartum blood loss (ml) | 24 hours |
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Inclusion Criteria:
Exclusion Criteria:
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women who will subjected to elective Cesarean section
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Woman's Health Hospital | Asyut | 71111 | Egypt |
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| ID | Term |
|---|---|
| D002585 | Cesarean Section |
| D007747 | Labor Stage, First |
| ID | Term |
|---|---|
| D036861 | Delivery, Obstetric |
| D013513 | Obstetric Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
| D007745 | Labor Onset |
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| cervical dilatation | Other | Cervical dilatation will be done by double gloves digital dilatation postpartum |
|
| No cervical dilatation | Other | after delivery of the baby cervix will be remain closed |
|
| D007743 | Labor, Obstetric |
| D011247 | Pregnancy |
| D012098 | Reproduction |
| D055703 | Reproductive Physiological Phenomena |
| D012101 | Reproductive and Urinary Physiological Phenomena |