A Novel Technique Of Uterine Cooling During Repeated Cesarean Section For Reducing Blood Loss
Cesarean Section Complications, Intrapartum Hemorrhage, Postpartum Hemorrhage
About this trial
This is an interventional prevention trial for Cesarean Section Complications
Eligibility Criteria
Inclusion Criteria:
- Singleton pregnancy at term between 38±5 days and 40 weeks.
- Elective planned or emergency repeated lower segment cesarean sections(LSCS).
- Pregnant women who will accept to be in the study, and have giveninformed consent.
Exclusion Criteria:
Women who refuse to be in the study, and women who are unable to consentdue to emergent nature of the cesarean section will be excluded. Women whoare unable to understand the nature of the study due to mental illness, mentalretardation, medical condition, or other communication barrier will be excluded,or who with severe medical and surgical complications as any of the followingwill be excluded :
- Heart, liver, kidney, or brain diseases, and blood disorders.
- Abruptio placenta, and placental abnormalities or accrete syndromes.
- Polyhydraminos, macrosomia, or preeclampsia.
- History of thromboembolic disorders, or severe anemia.
Sites / Locations
- OB/GYN Departments, Al-Hussein University Hospital, Al-Azhar University
Arms of the Study
Arm 1
Arm 2
No Intervention
Active Comparator
Control
Study
Standard Lower Segment Cesarean Section (LSCS) will be done.
Uterine Cooling Technique: Standard LSCS will be done except immediately following delivery of the fetus the uterus will be externalized in the usual fashion and the body of the uterus cephalad to the hysterotomy incision will be wrapped in sterile surgical towels saturated in sterile, iced normal saline. These towels will come from a sterile cooling pot set to 30 degrees Fahrenheit. The skin of the abdomen will be draped to prevent contact with the cold towels. Iced saline-soaked towels will be kept in place for a minimum of 5 minutes and replaced at the discretion of the attending obstetrician until the hysterotomy is closed and the uterus is replaced into the patient's abdomen.