Sharp Versus Blunt Uterine Incision Expansion

Comparison Between Blunt Versus Sharp Expansion of Uterine Incision at Lower Segment Cesarean Section as Regards the Intra-operative Blood Loss & Postoperative Pain

Status

UNKNOWN

Phases

Phase 2Phase 3

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT03377894

Enrollment

200

Registered

2017-12-19

Start date

2017-12-31

Completion date

2018-03-31

Last updated

2017-12-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cesarean Section Complications

Brief summary

comparison between blunt versus sharp expansion of uterine incision at lower segment cesarean section in primigravida as regards the intra-operative blood loss & postoperative pain

Detailed description

the study includes 200 pregnant women, primigravidas, at term who underwent elective transverse lower segment Cesarean section for the first time among the age group of 20 - 37 years with a singleton pregnancy. The patients are divided randomly into two groups as follows: * Group (A): undergoing blunt uterine incision expansion * Group (B): undergoing sharp uterine incision expansion

Interventions

PROCEDUREblunt uterine incision expansion

blunt uterine incision expansion

PROCEDUREsharp uterine incision expansion

sharp uterine incision expansion

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

OTHER

Masking

DOUBLE (Subject, Outcomes Assessor)

Eligibility

Sex/Gender

FEMALE

Age

20 Years to 37 Years

Healthy volunteers

Inclusion criteria

* singleton pregnancy.

Exclusion criteria

* previous PID * any medical or psychiatric * patients with BMI ≥ 40 * multigravidas * chronic analgesia use, * allergy to analgesics, * multiple pregnancies are also excluded

Design outcomes

Primary

Measure	Time frame	Description
post operative pain	one hour after cs	Post-operative pain is analyzed by using 4 point verbal rating scale (VRS) which consists of a list of adjectives describing different levels of pain intensity i.e (no pain =1, mild pain = 2, moderate pain = 3, severe pain = 4)
intraoperative bleeding	from skin incision till skin closure	The intra-operative blood loss is evaluated by towels as follows: The surgical towels will be weighed (gm) before and after the operation, and the difference in weight between dry and soaked towels will be calculated. Blood loss during the operation will be calculated by adding the volume of the contents of the suction bottle (ml) to the difference in weight of towels (gm) (weight of soaked towels - weight of dry towels).
The operative time is recorded in minutes	from skin incision till skin closure	The operative time is recorded in minutes

Countries

Egypt

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026