Labor Pain
Conditions
Keywords
Extra-peritoneal cesarean, Intra-peritoneal cesarean
Brief summary
The aim of study is to compare skin-to-delivery time and postoperative morbidity between extraperitoneal cesarean and transpirational cesarean.
Interventions
OTHERTransperitoneal cesarean technique
Pfannenstiel-Kerr technique for laparatomy and uterine entry
OTHERExtraperitoneal cesarean technique
Pfannenstiel incision, paravesical approach to lower uterine segment extraperitoneally and Kerr incision for uterine entry
Sponsors
Ataturk University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* elective cesarean * previous cesarean (\<4) * cesarean for distocia
Exclusion criteria
* emergency cesarean ( fetal distress) * risk of obstetrical bleeding * maternal coagulation defects * adnexial mass * uterin myoma at incision site
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Skin-to-delivery time | 1 minute after delivery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Operation time | Two minutes after surgery | skin-to-skin operation time |
| Hemoglobin differences | One hour before cesarean and 48 hours after cesarean | — |
| Need for analgesic | 24 and 48 hours after cesarean | All analgesic given after cesarean at hospital |
| Nausea | Two minutes and 48 hours after cesarean | Nausea during surgery and after surgery |
| Vomiting | Two minutes and 48 hours after cesarean | Nausea during and after surgery |
| Postoperative pain | 24 and 48 hour after cesarean | Pain will be measured by VAS |
| Urogenital distress measured by Urogenital Distress Inventory | One hour before cesarean and 24 hours after cesarean | — |
| Oral intake | 12 and 24 hours postoperatively | The percentage of patients who tolerates oral intake. Oral intake will be allowed 4-6 hours after cesarean for extraperitoneal group. For intraperitoneal group it will be allowed when patient passed gas. |
| Anxiety during surgery | One minute after cesarean | Intense fear or anxiety during surgery without pain (yes or no) |
| Pain during surgery | One minutes after surgery | Abdominal pain during surgery (yes or no) |
| Thoracic shoulder pain | 48 hours after cesarean | Thoracic shoulder pain after surgery |
Countries
Turkey (Türkiye)
Outcome results
None listed