Caesarean Section Clinical Trial
Official title:
Feasibility and Outcomes of External Pop-out Versus Classic Fetal Head Extract During Cesarean Section
Caesarean section is one the most common operations worldwide, its rates are globally
increasing. A multitude of efforts had been done aiming at reduction of Caesarean section
related maternal morbidities; most of them are related to technical modifications of how to
open and how to close the abdominal and uterine incisions . The comparative studies of blunt
versus sharp extension of the uterine incision showed a reduction of the incidence of
unintended extension from 8.8% to 4.8% .
The vulnerability of the lower uterine segment for tears are related to stage of labor. The
frequency of unintended extension was reported to be 15.5%, and 35.0% in cases operated in
first and second stages of labor respectively.
The original techniques of fetal head extraction entail the introduction of the obstetricians
hand or other instruments into the lower uterine segment . This puts the lower uterine
segment at risk of damage and incision extensions with its consequences of increased blood
loss, increased operative time, infection adhesions and blood transfusion. Adherence to the
available the generated good quality evidence bases practice in Caesarean section is
anticipated to decease such morbidities.
The idea of the present technique was derived from the fact that during vaginal delivery the
main task of obstetrician is to support the perineum while the fetal head extends to get out
through birth canal.
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