A COMPARATIVE STUDY BETWEEN SPONTANEOUS PLACENTAL DELIVERY AND MANUAL REMOVAL OF PLACENTA DURING CAESAREAN SECTION
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 10
Abstract
BACKGROUND The objectives of this study were to assess intra operative advantages and disadvantages, surgical benefits and problems, and postoperative febrile morbidity following spontaneous delivery of placenta, as compared to manual removal of placenta during caesarean section. MATERIALS AND METHODS Pregnant women with term gestation admitted as in-patients in SVIMS, Sri Padmavathi Medical College, Tirupathi over a period of 2 years from June 2015 to May 2017. 200 women scheduled for lower segment caesarean section through Pfannenstiel incision were randomized into spontaneous expulsion or manual removal of placenta group and their intraoperative and postoperative outcomes were studied which were statistically compared. RESULTS There was significant reduction in perioperative haemoglobin and PCV decrease (P<0.05) and duration of hospital stay (P<0.05) in the group where placenta was expelled spontaneously as compared to those in manual removal group. The shorter duration of hospital stay was due to decreased febrile morbidity and lesser postoperative blood transfusions. There was also a significant number with endometritis in MROP group. There was no significant difference in the operating time between both the groups. CONCLUSION Spontaneous delivery of placenta is associated with lesser perioperative Hb and PCV fall and reduced febrile morbidity, leading to shorter hospital stay as compared to manual removal of placenta during caesarean section.
Authors and Affiliations
Suma Varsha, Vanaja Kandluri, Usha Brindhini, Jahnavi Esanakula
Keywords
Related Articles
- EP ID EP537656
- DOI 10.18410/jebmh/2018/183
- Views 83
- Downloads 0
USE OF TWO STEP FOOT-REST UTILIZED FOR MAKING LITHOTOMY POSITION FOR ANORECTO-UROGENITAL SURGERIES IN INFANT PATIENTS WITH EASY APPROACH FOR ANAESTHESIOLOGIST AS WELL AS FOR SURGEON
This study was carried out in 40 infant patients with the aim is to provide optimal position for better surgical access and better access for anaesthesiologist regarding patient’s monitoring while minimizing manpower wit...
SERUM LIPID PROFILE AND TRANSAMINASES LEVELS IN HIV PATIENTS ON HAART WITH ADIPOSE TISSUE ALTERATIONS
BACKGROUND HIV patients receiving highly active Anti-Retroviral Therapy (HAART) usually suffer from side effects like hepatitis, neurological problems, abnormal fat distribution etc. Among these, the most physical, menta...
STUDY OF SURFACE EPITHELIAL OVARIAN MALIGNANCIES WITH REFERENCE TO THEIR HISTOLOGICAL GRADING AND ER & KI-67 IMMUNOREACTIVITY
BACKGROUND We wanted to evaluate the relation of histopathological grading of malignant surface epithelial ovarian neoplasms and evaluate ER and Ki -67 as prognostic markers to provide the clinician a better platform for...
SINGLE SITE COMBINED SMALL INCISION CATARACT SURGERY AND TRABECULECTOMYANALYSIS OF OUTCOME AND BENEFITS AT GOVERNMENT TIRUVARUR MEDICAL COLLEGE
BACKGROUND Cataract and Primary Open Angle Glaucoma (POAG) are the leading causes of painless progressive loss of vision in the world. Surgery is the most productive and cost-effective treatment for patients suffering fr...
EFFECT OF INTRACUFF LIGNOCAINE VERSUS LIGNOCAINE WITH DEXAMETHASONE ON ENDOTRACHEAL TUBE INDUCED EMERGENCE PHENOMENA AFTER GENERAL ANAESTHESIA- COMPARATIVE STUDY
BACKGROUND Inflating the ETT cuff with local anaesthetic would allow diffusion locally to produce anaesthesia to the mucosa, thereby attenuating stimulation during extubation. Dexamethasone, a corticosteroid, has anti-in...