Comparison of Unintended Uterine Extension between Cephalad-caudad and Transverse Blunt Expansion Techniques for Low Transverse Cesarean Delivery
Objective: To compare the incidence of unintended uterine extension of low transverse uterine incision during cesarean delivery between cephalad-caudad and transverse techniques.Materials and method: A prospective randomized controlled, hospital- based study in pregnant women who under...
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| Format: | Article |
| Language: | English |
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The Royal Thai College of Obstetricians and Gynaecologists
2010-09-01
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| Series: | Thai Journal of Obstetrics and Gynaecology |
| Subjects: | |
| Online Access: | https://tci-thaijo.org/index.php/tjog/article/download/1356/1133/ |
| _version_ | 1818146579350028288 |
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| author | Sukanda Mahawerawat Rungruedee Jeerasap |
| author_facet | Sukanda Mahawerawat Rungruedee Jeerasap |
| author_sort | Sukanda Mahawerawat |
| collection | DOAJ |
| description | Objective: To compare the incidence of unintended uterine extension of low transverse uterine incision during cesarean delivery between cephalad-caudad and transverse techniques.Materials and method: A prospective randomized controlled, hospital- based study in pregnant women who underwent low segment transverse cesarean delivery was conducted. Pregnant women were randomized to the cephalad-caudad direction and the transverse direction group. The incidence of unintended uterine extension was designed as a primary outcome. Results: There were 500 pregnant women in the present study which half of them were cephalad-caudad and the others were transverse groups. The incidence of unintended uterine extension in cephalad-caudad technique did not statistically significant decrease comparing with transverse group (RR 0.57, 95% CI 0.32- 1.03). Uterine vessels injury and additional stitches were significantly lower in cephalad-caudad group (RR 0.40, 95% CI 0.22- 0.72 and RR 0.60, 95% CI 0.43- 0.85). Duration of uterine suture, operative time and estimated blood loss were not significant difference between the two groups. Conclusion: The incidence of unintended uterine extension was not different between both techniques. |
| first_indexed | 2024-12-11T12:21:36Z |
| format | Article |
| id | doaj.art-9ccbf359dd214b5aa1d8f40096ef8029 |
| institution | Directory Open Access Journal |
| issn | 0857-6084 0857-6084 |
| language | English |
| last_indexed | 2024-12-11T12:21:36Z |
| publishDate | 2010-09-01 |
| publisher | The Royal Thai College of Obstetricians and Gynaecologists |
| record_format | Article |
| series | Thai Journal of Obstetrics and Gynaecology |
| spelling | doaj.art-9ccbf359dd214b5aa1d8f40096ef80292022-12-22T01:07:31ZengThe Royal Thai College of Obstetricians and GynaecologistsThai Journal of Obstetrics and Gynaecology0857-60840857-60842010-09-01183120125Comparison of Unintended Uterine Extension between Cephalad-caudad and Transverse Blunt Expansion Techniques for Low Transverse Cesarean DeliverySukanda Mahawerawat0Rungruedee Jeerasap1Department of Obstetrics and Gynecology, Khon Kaen Hospital, Khon Kaen, ThailandDepartment of Obstetrics and Gynecology, Khon Kaen Hospital, Khon Kaen, ThailandObjective: To compare the incidence of unintended uterine extension of low transverse uterine incision during cesarean delivery between cephalad-caudad and transverse techniques.Materials and method: A prospective randomized controlled, hospital- based study in pregnant women who underwent low segment transverse cesarean delivery was conducted. Pregnant women were randomized to the cephalad-caudad direction and the transverse direction group. The incidence of unintended uterine extension was designed as a primary outcome. Results: There were 500 pregnant women in the present study which half of them were cephalad-caudad and the others were transverse groups. The incidence of unintended uterine extension in cephalad-caudad technique did not statistically significant decrease comparing with transverse group (RR 0.57, 95% CI 0.32- 1.03). Uterine vessels injury and additional stitches were significantly lower in cephalad-caudad group (RR 0.40, 95% CI 0.22- 0.72 and RR 0.60, 95% CI 0.43- 0.85). Duration of uterine suture, operative time and estimated blood loss were not significant difference between the two groups. Conclusion: The incidence of unintended uterine extension was not different between both techniques.https://tci-thaijo.org/index.php/tjog/article/download/1356/1133/blunt expansioncesarean deliveryunintended uterine extension |
| spellingShingle | Sukanda Mahawerawat Rungruedee Jeerasap Comparison of Unintended Uterine Extension between Cephalad-caudad and Transverse Blunt Expansion Techniques for Low Transverse Cesarean Delivery Thai Journal of Obstetrics and Gynaecology blunt expansion cesarean delivery unintended uterine extension |
| title | Comparison of Unintended Uterine Extension between Cephalad-caudad and Transverse Blunt Expansion Techniques for Low Transverse Cesarean Delivery |
| title_full | Comparison of Unintended Uterine Extension between Cephalad-caudad and Transverse Blunt Expansion Techniques for Low Transverse Cesarean Delivery |
| title_fullStr | Comparison of Unintended Uterine Extension between Cephalad-caudad and Transverse Blunt Expansion Techniques for Low Transverse Cesarean Delivery |
| title_full_unstemmed | Comparison of Unintended Uterine Extension between Cephalad-caudad and Transverse Blunt Expansion Techniques for Low Transverse Cesarean Delivery |
| title_short | Comparison of Unintended Uterine Extension between Cephalad-caudad and Transverse Blunt Expansion Techniques for Low Transverse Cesarean Delivery |
| title_sort | comparison of unintended uterine extension between cephalad caudad and transverse blunt expansion techniques for low transverse cesarean delivery |
| topic | blunt expansion cesarean delivery unintended uterine extension |
| url | https://tci-thaijo.org/index.php/tjog/article/download/1356/1133/ |
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