Effect of expansion technique of uterine incision on maternal blood loss in cesarean section

2009 ◽  
Vol 282 (5) ◽  
pp. 475-479 ◽  
Author(s):  
Leila Sekhavat ◽  
Razieh Dehghani Firouzabadi ◽  
Parisa Mojiri
Keyword(s):  
Blood Loss ◽  
Cesarean Section ◽  
Maternal Blood ◽  
Uterine Incision ◽  
Expansion Technique

scholarly journals Timing of oxytocin administration to prevent post-partum hemorrhage in women delivered by cesarean section: A systematic review and metanalysis

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252491
Author(s):  
Maria Regina Torloni ◽  
Monica Siaulys ◽  
Rachel Riera ◽  
Ana Luiza Cabrera Martimbianco ◽  
Rafael Leite Pacheco ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Blood Loss ◽  
Cesarean Section ◽  
Post Partum ◽  
Average Risk ◽  
Limited Evidence ◽  
Post Partum Hemorrhage ◽  
Uterine Incision ◽  
Mean Differences ◽  
Calculated Average

Background There is no consensus on the best timing for prophylactic oxytocin administration during cesarean section (CS) to prevent post-partum hemorrhage (PPH). Objectives Assess the effects of administrating prophylactic oxytocin at different times during CS. Methods We searched nine databases to identify relevant randomized controlled trials (RCT). We pooled results and calculated average risk ratios (RR), mean differences (MD), and 95% confidence intervals (CI). We used GRADE to assess the overall evidence certainty. Results We screened 13,389 references and included four trials. We found no statistically significant differences between oxytocin given before versus after fetal delivery on PPH (RR 0.60, 95%CI 0.15–2.47; 1 RCT, N = 300) or nausea/vomiting (RR 1.21, 95%CI 0.69–2.13; 1 RCT, N = 300). There was a significant reduction in the need for additional uterotonics when oxytocin was given immediately before uterine incision versus after fetal delivery (RR 0.37, 95%CI 0.18–0.73; I2 = 0%; 2 RCTs; N = 301). Oxytocin given before fetal delivery significantly reduced intra-operative blood loss (MD -146.77mL, 95%CI -168.10 to -125.43; I2 = 0%; 3 RCTs, N = 601) but did not change the incidence of blood transfusion (RR 0.50, 95%CI 0.13–1.95; I2 = 0%; 2 RCTs, N = 301) or hysterectomy (RR 3.00; 95%CI 0.12–72.77; I2 = 0%; 2 RCTs, N = 301). One trial (N = 100) compared prophylactic oxytocin before versus after placental separation and found no significant differences on PPH, additional uterotonics, or nausea/vomiting. Conclusions In women having pre-labor CS, there is limited evidence indicating no significant differences between prophylactic oxytocin given before versus after fetal delivery on PPH, nausea/vomiting, blood transfusion, or hysterectomy. Earlier oxytocin administration may reduce the volume of blood loss and need for additional uterotonics. There is very limited evidence suggesting no significant differences between prophylactic oxytocin given before versus after placental separation on PPH, need for additional uterotonic, or nausea/vomiting. The overall certainty of the evidence was mostly low or very low due to imprecision. Protocol: CRD42020186797.

Blood Loss at Time of Cesarean Section by Method of Placental Removal and Exteriorization Versus in Situ Repair of the Uterine Incision

1994 ◽  
Vol 49 (5) ◽  
pp. 308
Author(s):  
Everett F. Magann ◽  
Mark K. Dodson ◽  
John R. Allbert ◽  
Charles M. McCurdy ◽  
Rick W. Martin ◽  
...  
Keyword(s):  
Blood Loss ◽  
Cesarean Section ◽  
Uterine Incision ◽  
In Situ Repair

Uterine incision and maternal blood loss in preterm caesarean section

1993 ◽  
Vol 252 (3) ◽  
pp. 113-117 ◽  
Author(s):  
T. T. Lao ◽  
S. H. Halpern ◽  
E. T. Crosby ◽  
C. Huh
Keyword(s):  
Caesarean Section ◽  
Blood Loss ◽  
Maternal Blood ◽  
Uterine Incision

scholarly journals Post-Operative Drop in Hemoglobin and Need of Blood Transfusion in Cesarean Section at Dhulikhel Hospital, Kathmandu University Hospital

2015 ◽  
Vol 11 (2) ◽  
pp. 144-146 ◽  
Author(s):  
B Singh ◽  
N Adhikari ◽  
S Ghimire ◽  
S Dhital
Keyword(s):  
Blood Transfusion ◽  
Blood Loss ◽  
Cesarean Section ◽  
Emergency Situation ◽  
University Hospital ◽  
Uterine Incision ◽  
Emergency Cesarean ◽  
Estimated Blood Loss ◽  
Transfusion Ratio ◽  
Cross Match

Background Cesarean section has been identified as one of the commonest indication for blood transfusion in obstetric practice because it involves risk of major intra-operative blood loss. Different figures varying from less than 500 ml to more than 1000 ml have been quoted as estimated blood loss associated with caesarean section. There is also a wide variation in blood ordering practices for this surgery. Objective The objective of this study is to evaluate the blood ordering practice and transfusion for cesarean sections at our institute, to see post-operative drop in hemoglobin and hematocrit and to correlate those parameters with the duration between uterine incision and repair. Methods In this prospective observational study, non-randomised purposive sample was taken from 121 ladies who underwent elective and emergency cesarean section at the department of obstetrics of Dhulikhel Hospital-Kathmandu University Hospital. Post-cesarean drop in hemoglobin and hematocrit and their relation with duration of uterine manipulation was calculated. Cross-match to transfusion (C/T ratio) ratio, transfusion probability (%T) and transfusion index (Ti) were also calculated. Results Most frequent blood group was found to be O positive (38%) among those ladies. Average post-cesarean drop in hemoglobin was 1.52±1.27 gm/dl and drop in haematocrit was 5.49±4.1%. Post-operative drop in hemoglobin and haematocrit had weak and positive linear relation with duration between uterine incision and repair. Cross-match to transfusion ratio was 1, transfusion probability 100% and transfusion index was 2. Conclusion There is no need of routine cross-matching of blood for cesarean section. Only grouping with confirmation of availability should be done for emergency situation. DOI: http://dx.doi.org/10.3126/kumj.v11i2.12490 Kathmandu University Medical Journal Vol.11(2) 2013: 144-146

scholarly journals Implementation of Delayed Cord Clamping for 3 Min During Term Cesarean Sections Does Not Influence Maternal Blood Loss

2021 ◽  
Vol 9 ◽  
Author(s):  
Stefanie Celen ◽  
Emily J. J. Horn-Oudshoorn ◽  
Ronny Knol ◽  
Eline C. van der Wilk ◽  
Irwin K. M. Reiss ◽  
...  
Keyword(s):  
Blood Loss ◽  
Cesarean Section ◽  
Postpartum Hemorrhage ◽  
Maternal Blood ◽  
Bleeding Complications ◽  
Cesarean Sections ◽  
Delayed Cord Clamping ◽  
Tertiary Referral Hospital ◽  
Cord Clamping ◽  
Local Protocol

Background: To assess maternal safety outcomes after a local protocol adjustment to change the interval of cord clamping to 3 min after term cesarean section.Design, Setting, and Patients: A retrospective cohort study in a tertiary referral hospital (Erasmus MC, Rotterdam). We included pregnant women who gave birth at term after cesarean section. A cohort (Nov 2016–Oct 2017) prior to the protocol implementation was compared to a cohort after its implementation (Nov 2017–Nov 2018). The study population covered 789 women (n = 376 pre-cohort; n = 413 post-cohort).Interventions: Implementation of a local protocol changing the interval of cord clamping to 3 min in all term births.Main outcome measures: Primary outcomes were the estimated maternal blood loss and the occurrence of postpartum hemorrhage (blood loss >1,000 ml). Secondary outcomes included both maternal as well as neonatal outcomes.Results: Estimated maternal blood loss was not significantly different between the pre-cohort and post-cohort (400 mL [300–600] vs. 400 mL [300–600], p = 0.52). The incidence of postpartum hemorrhage (26 [6.9%] vs. 35 (8.5%), OR 1.24, 95% CI 0.73–2.11) and maternal blood transfusion (9 [2%] vs. 13 (3%), OR 1.33, 95% CI 0.56–3.14) were not different. Hemoglobin change was significantly higher in the post-cohort (−0.8 mmol/L [−1.3 to −0.5] vs. −0.9 mmol/L [−1.4 to −0.6], p = 0.01). In the post-cohort, neonatal hematocrit levels were higher (51 vs. 55%, p = 0.004) and need for phototherapy was increased (OR 1.95, 95% CI 0.99–3.84).Conclusion: Implementation of delayed cord clamping for 3 min in term cesarean sections was not associated with increased maternal bleeding complications.

MATERNAL BLOOD LOSS ASSOCIATED WITH LOW DOSE HALOTHANE ADMINISTRATION FOR CESAREAN SECTION

1988 ◽  
Vol 69 (3A) ◽  
pp. A693-A693 ◽  
Author(s):  
Thirion A-V ◽  
RG Wright ◽  
CP Messer ◽  
MA Rosen ◽  
SM Shnider
Keyword(s):  
Blood Loss ◽  
Cesarean Section ◽  
Low Dose ◽  
Maternal Blood

Impact of general versus spinal anesthesia on maternal blood loss in cesarean section

2015 ◽  
Vol 5 (3) ◽  
pp. 124-128
Author(s):  
Hosam M. Hemeda ◽  
Mahmoud A. El-Shourbagi ◽  
Walid H. Tantawi ◽  
Mohammed Elsokkary ◽  
Mohammed M. El-sum
Keyword(s):  
Blood Loss ◽  
Cesarean Section ◽  
Spinal Anesthesia ◽  
Maternal Blood
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