Routine cervical dilatation during elective cesarean section and its influence on maternal morbidity: a randomized controlled study

Ahmed, Badreldeen; Nahia, Fareed Abu; Abushama, Mandy

doi:10.1515/jpm.2005.090

Cited by 24 publications

(7 citation statements)

References 5 publications

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“…To the best of our knowledge, only Ahmed et al [16] addressed this issue directly. They included 131 patients in the study, randomly assigned for cervical dilatation or no cervical dilatation.…”

Section: Introductionmentioning

confidence: 99%

Routine cervical dilatation during elective cesarean delivery – Is it really necessary?

Koifman

Harlev

Press

et al. 2009

The Journal of Maternal-Fetal & Neonatal Medicine

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Section: Introductionmentioning

confidence: 99%

Routine cervical dilatation during elective cesarean delivery – Is it really necessary?

Koifman

Harlev

Press

et al. 2009

The Journal of Maternal-Fetal & Neonatal Medicine

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“…No differences were found in maternal fever, wound infection, or change in hemoglobin concentration between this group and the other not undergoing the intraoperative cervical dilatation [1].…”

Section: Expansion Of Uterine Incisionmentioning

confidence: 59%

Technical aspects of the cesarean section

et al. 2010

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The aim of this study was to evaluate every part of the surgical procedure during cesarean section (CS) to prevent complications and improve the clinical outcome. We researched on PubMed, Medline, and Cochrane. The evidence-based research suggests a transverse incision of the skin, blunt dissection of the subcutaneous tissue, omission of the bladder flap, blunt extension of the hysterotomy, prophylactic antibiotics, spontaneous placental removal, leaving the peritoneum open, and suture closure of the subcutaneous tissue when thickness is ≥2 cm. We hope that all evidence-based description will help to perform the CS safer, and for all surgical procedures not yet studied, further research is needed.

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“…The presence of dilatation during C-section has been examined by several authors over the years and various ideas have been put forth (11,12). Nevertheless, there are only a few randomized studies on the relevant topic in the literature (13)(14)(15)(16).…”

Section: Discussionmentioning

confidence: 99%

Routine Cervical Dilatation at Cesarean Section and Its Influence on Pain Scores and Post-Operative Morbidity: A Randomized Controlled Study

Kannawati¹,

Dağdeviren²,

Guven³

et al. 2020

EJOH

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Objective: We hypothesized that, collection of blood in the intrauterine cavity and distended uterus in women after elective caesarean section could lead to increasing pain. The aim of this study was to identify the effect of routine cervical dilation during elective caesarean section on infectious morbidity, postpartum hemorrhage, and pain after labor by using visual analogue scale (VAS). Methods:A case-control study was conducted on 245 pregnant women who had elective cesarean section at Bakırköy Dr. Sadi Konuk Teaching and Research Hospital, Istanbul. The cases had intraoperative digital cervical dilatation at elective cesarean section while the controls did not.Results: There was a significant reduction in hemoglobin levels postoperatively in each group (p=0.001 for both groups), but the level of reduction was not statistically different between the groups (p = 0.37). The duration of operation was not statistically different between the two groups. In addition, there were no statistically significant difference in febrile morbidity (p =0.478), endometritis (p = 0.311), wound infection (p = 0.297) and UTI (p =0.479). Mean postoperative endometrial cavity thickness of the dilated group was significantly less than that of the non-dilated group (7.8 ± 4.1, 6.8 ± 3.8, respectively, p=0.044). We found VAS scores of dilated group to be significantly less than those of the non-dilated group (5.4 ± 3.0, 4.6 ± 2.8, respectively, p=0.023)

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Routine cervical dilatation during elective cesarean section and its influence on maternal morbidity: a randomized controlled study

Abstract: Intraoperative cervical dilatation during elective cesarean section did not reduce the risk of postoperative maternal fever, wound infection or change in hemoglobin concentration.

Cited by 24 publications

References 5 publications

Routine cervical dilatation during elective cesarean delivery – Is it really necessary?

Routine cervical dilatation during elective cesarean delivery – Is it really necessary?

Technical aspects of the cesarean section

Routine Cervical Dilatation at Cesarean Section and Its Influence on Pain Scores and Post-Operative Morbidity: A Randomized Controlled Study

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