Study on modification of the method for cesarean at the Department of Obstetrics and Gynecology, Da Nang Hospital between February 2004 and October 2004
- Author:
Pham Chi Kong
- Publication Type:Journal Article
- Keywords:
Misgav Ladach method for cesarean
- MeSH:
Cesarean Section;
Epidemiology
- From:Ho Chi Minh city Medical Association
2005;10(3):135-138
- CountryViet Nam
- Language:Vietnamese
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Abstract:
A randomize, controlled trial was conducted at the Department of Obstetrics and Gynecology, Da Nang Hospital between February 2004 and October 2004. 180 cesarean section cases, who met selection criteria (first cesarean section, gestational age ≥37 weeks, single pregnancy, same surgeon), were randomly assigned into 2 groups: modification group with modified Misgav Ladach method and Pfannelstiel group with Pfannelstiel incision. Results: Mean time of extraction of the newborn was 2.6±0.8 minutes in the modification group and 5.7±0.9 minutes in the Pfannelstiel group (p = 0). Mean duration of operation was 33.4±2.1 minutes in the modification group compared with 43.5±3.2 minutes in the Pfannelstiel group (p = 0). One hematoma (1.1%) was seen with the modification group versus 9 (10%) in the control group (p<0.05). The number of analgestic doses required during postoperative period was significantly lower in the modification group (1.3±0.6 versus 1.9±0.7 vials of pethidin; p<0.000001). There were no significant differences between the two groups in maternal age, gestational age, and indication of operation, Apgar scores and duration of hospitalization
