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Retracted: Randomized controlled trial of elevation of the fetal head with a fetal pillow during cesarean delivery at full cervical dilatation
Author(s) -
Seal Subrata L.,
Dey Alok,
Barman Sannyashi C.,
Kamilya Gourisankar,
Mukherji Joydev,
Onwude Joseph L.
Publication year - 2016
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2015.09.019
Subject(s) - medicine , fetal head , randomized controlled trial , cesarean delivery , obstetrics , fetus , incidence (geometry) , pregnancy , confidence interval , surgery , genetics , physics , optics , biology
Objective To evaluate whether use of the Fetal Pillow (Safe Obstetric Systems, Shenfield, UK) affects maternal and fetal morbidity in cesarean delivery at full cervical dilatation. Methods A randomized controlled trial was conducted at two teaching hospitals in West Bengal, India, between April 1, 2013, and March 31, 2014. Women undergoing cesarean delivery at full dilatation were enrolled and randomly assigned with computer‐generated random numbers (block size 10) to undergo delivery with or without the Fetal Pillow. Group assignment was not masked. The primary outcome was the incidence of major uterine wound extensions (grade 2–3). Results Overall, 120 women were assigned to each group. Major uterine wound extensions occurred in 6 (5.0%) women in the Fetal Pillow group and 39 (32.5%) in the control group (relative risk 0.23, 95% confidence interval 0.11–0.48). Conclusion Use of the Fetal Pillow in second‐stage cesarean delivery significantly reduces the risk of a major extension of the uterine incision. CTRI registration number: CTRI/2015/03/005651