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Erschienen in:

01.09.2016 | Maternal-Fetal Medicine

Dilatation or no dilatation of the cervix during cesarean section (Dondi Trial): a randomized controlled trial

verfasst von: Jade Kirscht, Christel Weiss, Jana Nickol, Sebastian Berlit, Benjamin Tuschy, Benjamin Hoch, Amelie-Verena Trebin, Thomas Große-Steffen, Marc Sütterlin, Sven Kehl

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 1/2017

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Abstract

Purpose

To assess the effects of mechanical dilatation of the cervix during cesarean section on postoperative morbidity.

Methods

A total of 447 women with elective cesarean section were included in the Dondi trial (Dilatation or no dilatation of the cervix during cesarean section). The primary outcome measure of this randomized controlled trial was postpartum hemorrhage (PPH) within 6 weeks. Infectious morbidity (puerperal fever, endometritis, wound infection, and urinary tract infection), blood loss (need for blood transfusion or change in hemoglobin levels), and operating time were also evaluated.

Results

The rate of PPH within 6 weeks was not different between the two groups [dilatation group: 5 (2.4 %), no dilatation group: 3 (1.2 %), p = 0.479]. Infectious morbidity, blood loss, and operating time were not diverse as well. The only significant difference between the two groups was the rate of retained products of conception with fewer cases after cervical dilatation (0 versus 6.2 %, p < 0.001).

Conclusions

Dilatation of the cervix during cesarean section compared with no dilatation of the cervix did not influence the risk of postpartum hemorrhage. However, there were fewer cases with retained products of conception after dilatation.

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Titel: Dilatation or no dilatation of the cervix during cesarean section (Dondi Trial): a randomized controlled trial
verfasst von: Jade Kirscht
Christel Weiss
Jana Nickol
Sebastian Berlit
Benjamin Tuschy
Benjamin Hoch
Amelie-Verena Trebin
Thomas Große-Steffen
Marc Sütterlin
Sven Kehl
Publikationsdatum: 01.09.2016
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Gynecology and Obstetrics / Ausgabe 1/2017
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-016-4189-4

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Dilatation or no dilatation of the cervix during cesarean section (Dondi Trial): a randomized controlled trial