scholarly journals Comparison of Intraoperative and Postoperative morbidity between in situ and extra-abdominal Uterine repair at Cesarean delivery

2020 ◽  
Vol 11 (3) ◽  
pp. 3540-3545
Author(s):  
Divya Ravikumar ◽  
Sindhura Myneni ◽  
Shanta Bhaskaran ◽  
Gayathri Baluswamy ◽  
Ramdas Praveena ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Postoperative Morbidity ◽  
Controlled Study ◽  
Operative Morbidity ◽  
Lower Segment Caesarean Section ◽  
Randomized Controlled ◽  
Abdominal Repair ◽  
Febrile Morbidity ◽  
In Situ Repair

In-situ and extra abdominal repair of uterine wound during cesarean section are two valid approaches. This study was carried out to compare intra operative and post operative morbidity in women undergoing caesarean delivery using these two techniques. This is a prospective interventional randomized controlled study. The study subjects include 170 women undergoing Lower segment caesarean section (LSCS) at Southern Railway HQ hospital, Chennai. Intra operative and post operative parameters were analysed in all the study subjects. In in-situ group, 12.6 % women experienced intra operative pain and 30.1% women in extra abdominal group. Intra operative nausea and vomiting was seen in 16.1% women in in-situ group and 28.9% women in extra abdominal group. 1.1% women in in-situ had post-operative febrile morbidity and 8.4 % had in extra abdominal group. The median fall in haemoglobin was 1.30 g/dL and 1.40 g/dL in in-situ and extra abdominal group respectively. In-situ repair of the uterine wound at cesarean delivery is associated with lesser incidence of intra operative pain , intra operative nausea or vomiting and post operative febrile morbidity compared to extra abdominal repair technique.

Uterine Exteriorization Compared With in Situ Repair at Cesarean Delivery: A Randomized Controlled Trial

2008 ◽  
Vol 112 (1) ◽  
pp. 183
Author(s):  
Isabela Cristina Coutinho ◽  
Melania Maria Ramos de Amorim ◽  
Leila Katz ◽  
Álvaro Antônio Bandeira de Ferraz
Keyword(s):  
Randomized Controlled Trial ◽  
Cesarean Delivery ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
In Situ Repair

scholarly journals Variable versus fixed-rate infusion of phenylephrine during cesarean delivery: a randomized controlled trial

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Ahmed Hasanin ◽  
Sara Habib ◽  
Yaser Abdelwahab ◽  
Mohamed Elsayad ◽  
Maha Mostafa ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Systolic Blood Pressure ◽  
Cesarean Delivery ◽  
Controlled Trial ◽  
Controlled Study ◽  
Lower Systolic Blood Pressure ◽  
Randomized Controlled ◽  
Phenylephrine Infusion ◽  
Infusion Regimen

Abstract Background Phenylephrine is the most commonly used vasopressor for prophylaxis against maternal hypotension during cesarean delivery; however, the best regimen for its administration is not well established. Although variable infusion protocols had been suggested for phenylephrine infusion, evidence-based evaluation of variable infusion regimens are lacking. The aim of this work is to compare variable infusion, fixed on-and-off infusion, and intermittent boluses of phenylephrine for prophylaxis against maternal hypotension during cesarean delivery. Methods A randomized controlled study was conducted, including full-term pregnant women scheduled for elective cesarean delivery. Participants were divided into three groups which received phenylephrine by either intermittent boluses (1.5 mcg/Kg phenylephrine), fixed on-and-off infusion (with a dose of 0.75 mcg/Kg/min), or variable infusion (with a starting dose of 0.75 mcg/Kg/min). The three groups were compared with regard to frequency of: maternal hypotension (primary outcome), second episode hypotension, reactive hypertension, and bradycardia. Other outcomes included heart rate, systolic blood pressure, physician interventions, and neonatal outcomes. Results Two-hundred and seventeen mothers were available for final analysis. The 2 infusion groups showed less incidence of maternal hypotension {26/70 (37%), 22/71 (31%), and (51/76 (67%)} and higher incidence of reactive hypertension compared to the intermittent boluses group without significant differences between the two former groups. The number of physician interventions was highest in the variable infusion group compared to the other two groups. The intermittent boluses group showed lower systolic blood pressure and higher heart rate compared to the two infusion groups; whilst the two later groups were comparable. Conclusion Both phenylephrine infusion regimens equally prevented maternal hypotension during cesarean delivery compared to intermittent boluses regimen. Due to higher number of physician interventions in the variable infusion regimen, the current recommendations which favor this regimen over fixed infusion regimen might need re-evaluation.

Uterine Exteriorization Compared With In Situ Repair at Cesarean Delivery

2008 ◽  
Vol 111 (3) ◽  
pp. 639-647 ◽  
Author(s):  
Isabela Cristina Coutinho ◽  
Melania Maria Ramos de Amorim ◽  
Leila Katz ◽  
Álvaro Antônio Bandeira de Ferraz
Keyword(s):  
Cesarean Delivery ◽  
In Situ Repair
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