ABSTRACT

Objective: To compare the mean change in haematocrit by blunt with sharp expansion of uterine incision at caesarean delivery. Methodology: In this Randomized Control Trial, at Department of Obstetrics/Gynaecology, Allied Hospital, Faisalabad during the years 2020, we included 200 cases (100 in each group) who fulfilled the inclusion/exclusion criteria. Two equal groups were formed by dividing patients randomly, A &B. Routine process of history, physical and systemic examination was completed before proceeding for the procedure. Sharp expansion was made in cases of Group-A whereas blunt expansion of uterine incision was done in Group-B cases. Blood loss in both groups was recorded by comparing haematocrit (%), pre-operative and 48 hours after the procedure.

Results: Mean pre-operative haematocrit levels were recorded as 36.29+2.64 in Group-A and 36.93+2.32 in Group-B. Mean post-operative haematocrit levels were recorded as 35.06+2.18 in Group-A and 32.09+2.41 in Group-B. Comparison of mean change in haematocrit levels were calculated and recorded as 3.097+0.339 in Group-A and 5.368+4.923 in Group-B. P-value was computed as 0.0001 which shows a significant difference in both groups.

Conclusion: The results of the study concluded that there is a significant higher mean change in heamatocrit by blunt expansion of the uterine incision as compared to sharp expansion at caesarean delivery.