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- W2061125619 abstract "Some obstetricians routinely dilate the cervix from above during elective cesarean section using either a double-gloved finger or a Hegar dilator in case the cervix should fail to dilate and allow the discharge of residual blood and debris. In this way, it is hoped that endometritis and excessive blood loss may be avoided. This prospective trial was designed to show whether digital cervical dilatation does in fact reduce maternal febrile morbidity, wound infection, and blood loss after operative delivery. Sixty-seven of 131 women entering the study had intraoperative cervical dilation, whereas 64 served as a control group. The 2 groups had comparable preoperative and clinical care and similar operative procedures. In study cases, a double-gloved index digit was placed in the cervical canal to dilate it. Patients remained in the hospital for 4 to 5 days postoperatively. The women participating in this study, ranging in age from 20 to 45 years, all were free of symptoms and were not in labor. There were no significant group differences in age, parity, or previous section delivery. Changes in hemoglobin were similar in the 2 groups. Only 3 women—2 of whom had cervical dilation—became febrile. Two of these women had breast engorgement and one had upper respiratory tract infection. No outcome measures differed significantly between the 2 groups. None of the participants developed wound infection. This, the first randomized trial evaluating cervical dilatation during elective cesarean section, fails to support the practice of routine digital cervical dilation in this setting to lower the risk of postoperative maternal fever, wound infection, or excessive blood loss." @default.
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- W2061125619 date "2006-05-01" @default.
- W2061125619 modified "2023-09-25" @default.
- W2061125619 title "Routine Cervical Dilatation During Elective Cesarean Section and Its Influence on Maternal Morbidity: A Randomized Controlled Study" @default.
- W2061125619 doi "https://doi.org/10.1097/01.ogx.0000216654.87308.3f" @default.
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