Routine cervical dilatation at caesarean section and its influence on postoperative pain and complications in obese women: a double blind randomized controlled trial

Abstract

Introduction

Numerous surgical techniques regarding cesarean section performance were assessed. The usefulness of cervical dilatation during cesarean section, are still based on restricted research obtained data.

Purpose

To assess the impact of intraoperative digital dilatation of cervix on postoperative pain.

Material and methods

The current research study is a Prospective parallel group randomized controlled double blind research trial that was conducted in obstetrics and gynecology hospital, Faculty of Medicine, Cairo University and Algezeera Hospital, Egypt from the period May 2018 until February 2018.

Results

The visual analog scale scoring level was statistically significantly higher in noncervical dilatation research group at 8th, 30th, 48 hours and 7th day postoperative (p values <.001, .001, .001, and .001, respectively). On the other hand at the 4th day postoperative, there was no statistical significant difference concerning VAS scoring level.

Conclusions

Manual cervical dilatation during cesarean section is an innovative procedure to reduce postoperative pain in obese women. We thought that according to the results of the present study, cervical dilatation leads to proper continuous adequate evacuation and drainage of the intracavitary contents that leads to decrease the uterine subinvolution, retained blood and so, decreased postoperative pain and postoperative blood loss.

Clinicaltrials.gov ID

NCT 03513237.

Keywords:

• Cervical
• dilatation
• cesarean section
• postoperative
• pain

Authors contribution

All authors; Dr. Mahmoud Alalfy, Dr. Amera yehia, Dr. Ahmed Samy participated in all aspects of the research, made a substantial contributions in this research in the first conception, design, interpretation and analysis of data and writing and revision of manuscript and in doing the cesarean section and follow up of cases.

Acknowledgements

We would like to thank all staff members in Kasralainy and Algezeera Hospital who helped us in completing this research.

Disclosure statement

No potential conflict of interest was reported by the authors.