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Created on : 17 Nov 2004
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

The effect of placental removal method at cesarean delivery on perioperative hemorrhage: a randomized clinical trial ISRCTN 49779257. European Journal of Obstetrics & Gynecology and Reproductive Biology 2004;117(2):179-182.

Author(s) :

Hidar S, Jennane TM, Bouguizane S, Lassoued L, Bibi M, Khaïri H.

Year of publication :

2004

URL(s) :

http://www.sciencedirect.com/science?_ob=ArticleUR…

Résumé (français)  :

Abstract (English)  :

Objectives: To evaluate whether the method of placental removal during cesarean section has an impact on perioperative hemorrhage and maternal infectious morbidity.

Study design: Three hundred and two patients admitted for abdominal delivery were recruited in a prospective randomized clinical intention-to-treat trial. Participants were assigned to have their placenta removed either manually or spontaneously. The drop in hematocrit was the primary outcome; postpartum maternal infectious morbidity was also assessed.

Results: Two patients were excluded for incomplete data. One-hundred-fifty-one were randomized to the manual removal group and 149 to the spontaneous group. The demographic characteristics of the two populations were similar. The mean drop (%) in the manual removal group was greater than in the spontaneous group (5.57±3.86 and 2.65±2.67, respectively; P<0.01). the incidence of postpartum infectious morbidity was also significantly greater in the manual group (RR 15.8, 95% CI 2.19–117.5).

Conclusion: Routine manual removal of placenta at cesarean section significantly increases perioperative blood loss and postpartum maternal infectious morbidity.

Sumário (português)  :

Resumen (español)  :

Comments :

Argument (français) :

Plus de pertes sanguines et d’infections lorsque le placenta est enlevé manuellement lors d’une césarienne (Tunisi).

Argument (English):

Argumento (português):

Argumento (español):

Keywords :

➡ c-section/caesarean ; infections ; evidence-based medicine/midwifery ; postpartum hemorrhage ; morbidity

Author of this record :

Cécile Loup — 17 Nov 2004