American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Apr 2016
Randomized Controlled TrialThe impact of ambient operating room temperature on neonatal and maternal hypothermia and associated morbidities: a randomized controlled trial.
Neonatal hypothermia is common at the time of cesarean delivery and has been associated with a constellation of morbidities in addition to increased neonatal mortality. Additionally, maternal hypothermia is often uncomfortable for the surgical patient and has been associated with intraoperative and postoperative complications. Various methods to decrease the rates of neonatal and maternal hypothermia have been examined and found to have varying levels of success. ⋯ A modest increase in operating room temperature at the time of cesarean reduces the rate of neonatal and maternal hypothermia. We did not detect a decrease in neonatal morbidity, but the power to detect a small change in these outcomes was limited.
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Am. J. Obstet. Gynecol. · Apr 2016
Randomized Controlled TrialImpact of uterine closure on residual myometrial thickness after cesarean: a randomized controlled trial.
Incomplete healing of uterine scar after cesarean has been associated with adverse gynecological and obstetrical outcomes. Several studies reported that uterine closure at cesarean influences the healing of uterine scar and the risk of uterine rupture at subsequent pregnancies: the commonly used locked single-layer suture including the decidua being associated with a 4-fold increased risk of uterine rupture. However, data from randomized trials are lacking. ⋯ Double-layer closure with unlocked first layer is associated with better uterine scar healing than locked single layer.