The effect of placental removal method on perioperative hemorrhage at cesarean delivery; a randomized clinical trial
| Autor: | Oznur Oner, Vedat Atay, İsmet Gün, Serkan Ertuğrul, Özkan Özdamar |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
medicine.medical_specialty Blood transfusion Placenta medicine.medical_treatment Blood Loss Surgical law.invention Hemoglobins Randomized controlled trial Pregnancy law medicine Humans Childbirth Prospective Studies Prospective cohort study reproductive and urinary physiology Cesarean Section business.industry Postpartum Hemorrhage Obstetrics and Gynecology General Medicine Perioperative medicine.disease Surgery medicine.anatomical_structure Female Endometritis business |
| Zdroj: | Archives of Gynecology and Obstetrics. 288:563-567 |
| ISSN: | 1432-0711 0932-0067 |
| Popis: | The aim of this prospective randomized clinical study is to compare whether the removal methods of placenta during cesarean section have an impact on perioperative hemorrhage. One hundred women with singleton term pregnancies undergoing elective cesarean section through lower segment transverse incision under general anesthesia were included in this study. They were randomly allocated to two groups according to the type of removal of the placenta from the uterus after childbirth; manually or spontaneously. The main outcome measures were change in hemoglobin levels after cesarean section. The secondary outcomes were operative time, required transfusions and postcesarean endometritis. Fifty patients were randomized to the manual removal group and 50 to the spontaneous group. The demographic characteristics of the two groups were similar. There were no difference in terms of change in hemoglobin levels after cesarean section between two groups (1.6 ± 1.0 and 1.5 ± 1.0, respectively; P = 0.711). In addition, none of the patients required blood transfusion and showed postpartum infections. There is not an association between the method of removal of the placenta and postpartum blood loss in cesarean section deliveries. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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