Objective: The aim of this study is to compare the outcomes of subcutaneous drains versus no drains in patients

with repeated cesarean section.

Study Design: Randomized control trial

Place and Duration: Conducted at Gyne & Obs Department, Shahida Islam Teaching Hospital Lodhran, during

from 8-01-2020 to 8-08-2020.

Methods: Total 90 pregnant women with repeated cesarean section were presented in this study. Patients were

aged between 22-50 years. Detailed demographics of enrolled cases including age, body mass index, gestational

age and parity were recorded after taking informed written consent. Patients were categorized into two groups,

group I had 45 patients with subcutaneous drain and 45 patients of group II were without drain. Post-operative

outcomes were assessed and compared among both groups. VAS was used to compare pain among both

groups. SPSS 22.0 version was used to analyze the data.

Results: Mean age of the patient in group I was 30.6±8.44 years with mean BMI 33.08±5.26 kg/m2 but in group II

mean age was 29.03±7.37 years with mean BMI 31.12±11.58 kg/m2. Mean gestational age in group I was

37.9±3.9 weeks and in group II mean gestational age was 37.3±2.7 weeks. There was no any significantly

difference in parity among both groups. Post-operative mean haemoglobin in group I was lower 7.9±1.6 gm% as

compared to group II 8.11±0.4 gm%. Mean pain score in group I was 6.8±4.7 and in group II was 8.2±4.11.

Prevalence of wound infection was greater in group II 5 (11.1%) as compared to group I 3 (6.7%). Hospital stay

was shorter in group I 9.7±2.11 days as compared to group II 10.8±1.14 days. Frequency of superficial SSI and

wound seroma were significantly higher among patients of group II.

Conclusion: In this study we concluded that those patients who received subcutaneous drain undergoing

cesarean section resulted low post-operative pain with fewer chances of wound infection as compared to the

patients undergoing C-section without drain. Except this frequency of SSI and hospital stay was shorter among

patients of drain group.

Keywords: Cesarean, Drain, Wound Infection, Superficial Surgical Site Infection, Pregnant Women