الفهرس 
MECHANICAL DILATATION OF THE CERVIX AT NON-LABOUR CAESAREAN SECTIONOnly 14 pages are availabe for public view
 |  | from | 113 |  |  |
| | | from | 113 | | |
Abstract
O
bstetric hemorrhage remains one of the major causes of maternal death in both developed and developing countries. Because of its importance as a leading cause of maternal mortality and morbidity, and because of evidence of substandard care in the majority of fatal cases, obstetric hemorrhage must be considered as a priority topic for national guideline development.
Some obstetricians believe that the cervix of women at non-labour caesarean section is undilated and might cause obstruction of blood or lochia drainage, leading to postpartum haemorrhage and endometritis from collection of lochia or debris. Dilatation of the cervix helps with the drainage of blood during postpartum, reducing intrauterine infection or the risk of postpartum haemor¬rhage. To avoid this problem, some obstetricians routinely dilate the cervix from above during an elective/non-labour caesarean sec¬tion using finger, sponge forceps or other instruments
This study included 200 pregnant women who attended labor ward to undergo elective cesarean section This clinical trial was conducted at Ain-Shams University Maternity Hospital Cairo Egypt those women were divided into two groups, group A 100 women who underwent mechanical dilatation and group B who included 100 women who didn’t undergo mechanical dilatation.
The study aim was to compare the efficacy of mechanical dilatation of cervix at non labor cesarean section versus non dilatation to reduce post-operative blood loss (1st 24 hours following cs).
In this study postoperative blood loss in group A mean(SD)438.1(49.4)ml while in group B Mean(SD) 484.9(128.7)ml. with the blood loss difference between two groups as regards postoperative blood loss was Mean(SE) 46.8(14.0)ml. total blood loss in group A Mean(SD) 844.8(189.9)ml while in group B 912.4(231.0)ml and blood loss difference as regards total blood loss between two groups was Mean(SE) 67.5(30.6) ml. It was found that difference in total blood loss between group A and group B is statistically significant with a P value of 0.029.
The study revealed that mechanical cervical dilatation reduces postoperative and total blood loss besides it decrease the DROP of haemoglobin and haematocrit postoperative. Postpartum hemorrhage was nonsignificantly less frequent among group A than group B.