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Is routine cervical dilatation necessary during elective caesarean section? A randomised controlled trial
Author(s) -
GÜNGÖRDÜK Kemal,
YILDIRIM Gokhan,
ARK Cemal
Publication year - 2009
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.2009.00980.x
Subject(s) - medicine , caesarean section , endometritis , relative risk , confidence interval , obstetrics , group b , postoperative fever , prospective cohort study , randomized controlled trial , pregnancy , surgery , gynecology , genetics , percutaneous , biology
Objective: The purpose of this prospective randomised study was to determine the effect of routine cervical dilatation during elective caesarean section on maternal morbidity. Methods: Participants with indication for elective caesarean section were randomly allocated to two groups. Group A ( n = 200) women with intraoperative cervical dilatation; group B ( n = 200) women with no intraoperative cervical dilatation. Results: No demographic differences were observed between groups. There was no significant difference between groups in infectious morbidity ( P = 0.87) (relative risk (RR) 1.11, 95% confidence interval (CI) 0.58–2.11), endometritis ( P = 0.72) (RR 1.68, 95% CI 0.39–7.14), febrile morbidity ( P = 0.66) (RR 1.21, 95% CI 0.51–2.87), wound infection ( P = 0.82) (RR 1.11, 95% CI 0.44–2.81), endometritis ( P = 0.72) (RR 1.68, 95% CI 0.39–7.14) or urinary tract infection ( P = 1.00) (RR 1.00, 95% CI 0.28–3.50), and estimated blood loss ( P = 0.2). However, group A had longer operative times compared with the group B ( P = 0.01). Conclusion: Intraoperative digital cervical dilatation during elective caesarean section did not reduce blood loss and postoperative infectious morbidity. The routine digital cervical dilatation during elective caesarean section is not recommended.