Comparison of Intraoperative Hemorrhage by Blunt Versus Sharp Expansion of Uterine Incision at Lower Segment Cesaeren Delivery

Authors

  • Humaira Shaheen, Sadia Zahoor, Nadia Zulfiqar, Bilqees Akhtar Malik, Zafar Iqbal, Muhammad Tahir

DOI:

https://doi.org/10.53350/pjmhs20221612282

Abstract

Objectives: To compare the intraoperative hemorrhage between blunt and sharp expansion of uterine incision at lower segment caesarean delivery.

Study Design: Randomized controlled trial.

Study Duration: 03-02-2022 to 02-08-2022 (6 months)

Setting: Department of Obstetrics and Gynecology, D.G Khan Hospital D. G Khan

Material and methods: Total 74 patients undergoing C-section, age range 20-40 years, with singleton pregnancy and patients with >37 weeks gestation. (on ultrasound) were included.  Intraoperative blood loss was compared between blunt and sharp group. 

Results: Mean age was 32.31 ± 6.246 years, in Blunt and Sharp group, mean age was 35.70 ± 4.122 years and 28.92 ± 6.202 years.  In Blunt group, mean blood loss was 201.62 ± 60.794 ml while in sharp group was 782.03 ± 153.819 ml.  Difference of mean blood loss between Blunt and Sharp group was significant (P= 0.000).

Conclusion: Results of present study reflects that there is significant difference of intraoperative mean blood loss between blunt and sharp groups.  Most of the patients were between 31-40 years of age.  After stratification of age, gestational age, parity and type of C-section, it was found that there is significantly low mean blood loss in blunt group as compared to sharp group.

Keywords: Blood loss, C-section, Blunt, intraoperative haemorrhage,  

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How to Cite

Humaira Shaheen, Sadia Zahoor, Nadia Zulfiqar, Bilqees Akhtar Malik, Zafar Iqbal, Muhammad Tahir. (2023). Comparison of Intraoperative Hemorrhage by Blunt Versus Sharp Expansion of Uterine Incision at Lower Segment Cesaeren Delivery. Pakistan Journal of Medical & Health Sciences, 16(12), 282. https://doi.org/10.53350/pjmhs20221612282