• Eur. J. Obstet. Gynecol. Reprod. Biol. · Dec 2004

    Randomized Controlled Trial Clinical Trial

    The effect of placental removal method at cesarean delivery on perioperative hemorrhage: a randomized clinical trial ISRCTN 49779257.

    • Samir Hidar, Taha M Jennane, Sassi Bouguizane, Latifa Lassoued, Mohamed Bibi, and Hédi Khaïri.
    • Obstetrics and Gynaecology Department, F. Hached University Teaching Hospital, Boulevard M. Karoui 4000 Sousse, Tunisia. hidar.samir@gnet.tn
    • Eur. J. Obstet. Gynecol. Reprod. Biol. 2004 Dec 1; 117 (2): 179-82.

    ObjectivesTo evaluate whether the method of placental removal during cesarean section has an impact on perioperative hemorrhage and maternal infectious morbidity.Study DesignThree hundred and two patients admitted for abdominal delivery were recruited in a prospective randomized clinical intention-to-treat trial. Participants were assigned to have their placenta removed either manually or spontaneously. The drop in hematocrit was the primary outcome; postpartum maternal infectious morbidity was also assessed.ResultsTwo patients were excluded for incomplete data. One-hundred-fifty-one were randomized to the manual removal group and 149 to the spontaneous group. The demographic characteristics of the two populations were similar. The mean drop (%) in the manual removal group was greater than in the spontaneous group (5.57+/-3.86 and 2.65+/-2.67, respectively; P<0.01). the incidence of postpartum infectious morbidity was also significantly greater in the manual group (RR 15.8, 95% CI 2.19-117.5).ConclusionRoutine manual removal of placenta at cesarean section significantly increases perioperative blood loss and postpartum maternal infectious morbidity.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…