Intra-operative hemorrhage by blunt versus sharp expansion of the uterine

authors:

avatar T Dabagh , * , avatar A Javadi , avatar M Rohani

Journal of Inflammatory Diseases: Vol.11, issue 2; 33-36
article type: issue_documents_importer

how to cite: Dabagh T, Javadi A, Rohani M. Intra-operative hemorrhage by blunt versus sharp expansion of the uterine. J Inflamm Dis. 2007;11(2):e155299. 

Abstract

Abstract Background: Reduction in amount of bleeding during cesarean delivery has a considerable impact on maternal health. Objective: To determine whether the method used to expand the uterine incision for caesarean delivery affects the incidence of intra-operative hemorrhage. Methods: This was a clinical, single blind trial, carried out at Kosar Hospital, Qazvin (Iran) during 2003-2004. The study population consisted of 1000 women who were randomly subjected to cesarean delivery with sharp or blunt expansion method. Demographic information, pre- and 48 hr post-operative hemoglobin and hematocrit levels were recorded. The data were further analyzed using SPSS software, chi-square pair, and t-test. Findings: Compared with the blunt group, change in mean hematocrit (4.18±2.8 versus 3.36±2.7 or 10.9% versus 8.92%, p<0.001), incidence of postpartum hemorrhage (57.6% versus 42%, p<0.005) were significantly greater in the sharp group. Conclusion: In cesarean delivery, sharply expanding of uterine incision significantly increases intra-operative blood loss.