Cesarean, Extraperitoneal
Conditions
Keywords
Cesarean, extraperitoneal, Cesarean, Pain
Brief summary
The aim of the study is to compare post operative morbidity between extra peritoneal cesarian and trans peritoneal cesarean section.
Interventions
PROCEDUREExtraperitoneal Cesarean
Pfannenstiel incision, paravesical approach to lower uterine segment extraperitoneally and Kerr incision for uterine entry
PROCEDURETransperitoneal Cesarean
Pfannenstiel-Kerr technique for laparatomy and uterine entry
Sponsors
Ataturk University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
16 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* elective cesarean (primary or repeated up to four)
Exclusion criteria
* emergent cesarean * macrosomia (fetal weight \> 4500 g) * history of major abdominal surgery * suspected abnormal placentation * placenta previa
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| post operative pain | One hour before cesarean and 24 hour postoperatively | Perceived pain scores will be measured by an visual analog scale. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| operation time | 5 minutes postoperatively | skin incision to skin closure |
| hemoglobin differences | one hour before cesarean, 48 hour postoperatively | — |
| need for extra analgesic | 48 hour | — |
| nausea | 48 hour | — |
| delivery time | 2 minutes after delivery | skin incision to delivery |
| thoracic and shoulder pain | 48 hour | — |
| Urogenital distress measured by Urogenital Distress Inventory | One hour before cesarean and 24 hour postoperatively | — |
| Oral intake | 48 hour | The percentage of patients who tolerates oral intake. Oral intake will be allowed 4-6 hour after cesarean for extraperitoneal group. For intraperitoneal group it will be allowed when patient passed gas. |
| vomiting | 48 hour | — |
Countries
Turkey (Türkiye)
Outcome results
None listed