Is cephalad caudad blunt expansion of the low transverse uterine incision really associated with less uncontrolled extensions to decrease intra operative blood loss A prospective randomised controlled trial

Abstract

Objective: To determine which type of blunt expansion of a low transverse uterine incision during operative delivery is associated with decreased blood loss and intra- and post-operative morbidity for a caesarean section (CS).Methods: The prospective randomised-controlled trial was conducted at the Department of Obstetrics and Gynecology, Bezmialem University Hospital. The patients were randomly assigned to a group that received a cephalad-caudad (n=55) or transverse (n=57) blunt expansion of the low transverse uterine incision. Intra- and post-operative morbidity at caesarean delivery in short-term including blood loss, operating time, post-operative pain with the faces pain rating scale, and post-operative morbidity were analysed.Results: The changes in both haemoglobin (p0.05, 95% CI 0.19, 1.63).Conclusion: Our findings suggest that cephalad-caudad blunt expansion of the low transverse uterine incision decreases blood loss compared to transverse blunt dissection.