Is routine cervical dilatation necessary during elective caesarean section? A randomised controlled trial

Australian and New Zealand Journal of Obstetrics and Gynaecology

Volumn 49, Issue 3, 2009, Pages 263-267

  Güngördük, Kemal ^a,b   Yildirim, Gokhan ^a   Ark, Cemal ^a  

^a Istanbul Bakirkoy Women and Children Hospital   (Turkey)

^b Bittiŝikbaglar orka sok ^*  (Turkey)

Author keywords

A randomised controlled trial; Digital cervical dilatation; Elective caesarean section; Infectious morbidity

Indexed keywords

CEFAZOLIN; CLINDAMYCIN;

ADULT; ANTIBIOTIC PROPHYLAXIS; ARTICLE; BLEEDING; CESAREAN SECTION; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; ELECTIVE SURGERY; ENDOMETRITIS; FEMALE; FEVER; HUMAN; MAJOR CLINICAL STUDY; MATERNAL MORBIDITY; PEROPERATIVE CARE; POSTOPERATIVE INFECTION; PREVALENCE; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; RISK FACTOR; SURGICAL TECHNIQUE; THERAPY EFFECT; TREATMENT INDICATION; URINALYSIS; URINARY TRACT INFECTION; UTERINE CERVIX DILATATION; WOUND INFECTION; DILATATION; METHODOLOGY; PREGNANCY; RISK;

ADULT; ANTIBIOTIC PROPHYLAXIS; BLOOD LOSS, SURGICAL; CESAREAN SECTION; DILATATION; ENDOMETRITIS; FEMALE; HUMANS; PREGNANCY; RISK; SURGICAL PROCEDURES, ELECTIVE; YOUNG ADULT;

EID: 70349772765     PISSN: 00048666     EISSN: 1479828X     Source Type: Journal    
DOI: 10.1111/j.1479-828X.2009.00980.x     Document Type: Article

References (21)

1. Meikle S, Steiner CA, Zhang J, Lawrence WL. A national estimate of the elective primary cesarean delivery rate. Obstet Gynecol 2005; 105: 751-756.
2. Ahmed B, Abu Nahia F, Abushama M. Routine cervical dilatation during elective cesarean section and its influence on maternal morbidity: A randomized controlled study. J Perinat Med 2005; 33: 510-513.
3. von Mandach U, Huch R, Malinverni R, Huch A. Ceftriaxone (single dose) versus cefoxitin (multiple doses): Success and failure of antibiotic prophylaxis in 1052 cesarean sections. J Perinatal Med 1993; 21: 385-397.
4. Ramsey PS, White AM, Guinn DA et al. Subcutaneous tissue reapproximation, alone or in combination with drain, in obese women undergoing cesarean delivery. Obstet Gynecol 2005; 105: 967-973.
5. Dodd JM, Anderson ER, Gates S. Surgical techniques for uterine incision and uterine closure at the time of caesarean section. Cochrane Database Syst Rev 2008, Issue 3. Art. No.: CD004732. DOI: 10.1002/14651858.CD004732.pub2.
6. Cernadas M, Smulian JC, Giannina G, Ananth CV. Effects of placental delivery method and intraoperative glove changing on postcesarean febrile morbidity. J Matern Fetal Med 1998; 7: 100-104.
7. Magann EF, Washburne JF, Harris RL, Bass JD, Duff WP, Morrison JC. Infectious morbidity, operative blood loss, and length of the operative procedure after cesarean delivery by method of placental removal and site of uterine repair. J Am Coll Surg 1995; 181: 517-520.
8. Wilkinson CS, Enkin MW. Manual removal of placenta at caesarean section. Cochrane Database Syst Rev 2008, Issue 3. Art. No.: CD000130. DOI: 10.1002/14651858.CD000130.pub3.
9. Anorlu RI, Maholwana B, Hofmeyr GJ. Methods of delivering the placenta at caesarean section. Cochrane Database Syst Rev 2008, Issue 3. Art. No.: CD004737. DOI: 10.1002/ 14651858.CD004737.pub2.
10. Gabbe GS. Obstetrics Normal and Problem Pregnancies, 5nd edn. Philadelphia, PA: Churchill Livingstone, 2006; 486.
11. Baggish MS. Atlas of Pelvic Anatomy and Gynecologic Surgery. Philadelphia, PA: W.B. Saunders, 2001; 102.
12. Yancey MK, Clark P, Duff P. The frequency of glove contamination during cesarean delivery. Obstet Gynecol 1994; 83: 538-542.
13. Faro S, Soper DE. Infectious Disease in Women. Philadelphia, PA: Saunders, 2001; 181-191.
14. Donald I. Practical Obstetric Problems, 5th edn. London: Lloyd-Luke, 1979; 847.
15. Myerscough PR. Munro Kerr's Operative Obstetrics, 10th edn. London: Bailliere Tindall, 1982; 302.
16. Dickinson JE. Caesarean section. In: James DK, Steer PJ, Weiner CP, Gonik B, eds. High Risk Pregnancy. Management Options, 2nd edn. London: W.B. Saunders, 1999; 1223.
17. Hofmeyr GJ. Caesarean section. In: Chamberlain G, ed. Turnbull's Obstetrics, 2nd edn. Edinburgh: Churchill Livingstone, 1995; 726.
18. Johanson RB. Obstetric procedures. In: Edmonds DK, ed. Dewhurst's Textbook of Obstetrics and Gynaecology for Postgraduates, 6th edn. Oxford: Blackwell Science, 1999; 318.
19. Swedish-Norwegian Consensus Group. Antibiotic prophylaxis in surgery: Summary of a Swedish-Norwegian Consensus Conference. Scand J Infect Dis 1998; 30: 547-557.
20. Pedersen TK, Blaakaer J. Antibiotic prophylaxis in cesarean section. Acta Obstet Gynecol Scand 1996; 75: 537-539.
21. Bollapragada SS, Edozien LC. Apparent absence of lochia after elective caesarean section. J Obstet Gynaecol 2002; 22: 558.