COMPARATIVE STUDY OF CAESAREAN SECTION BETWEEN CONVENTIONAL AND MISGAV-LADACH METHOD
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 89
Abstract
BACKGROUND Ever since the inception of caesarean section, this particular surgery had been innovated and re-innovated to provide better results and decrease the mortality rates as well as post-operative morbidity rates. This study is to determine a clear advantage of MisgavLadach method, over conventional caesarean section. Our study was non randomized controlled trial study, designed to determine the prospects of Misgav-Ladach method over conventional caesarean section; Hence, every patient’s retrospective analysis, preoperative and post-operative important parameters were being compared. The statistic applied was simple comparison between group A (caesarean section) and group B (Misgav-Ladach method) on different assessing parameters. MATERIALS AND METHODS This non randomized controlled trial study was conducted in Department of OBG-GYN in Rama Medical College Hospital and Research Centre. Sample size was 50 in each group. Group A and Group B, each consisting fifty patients; Group A included fifty women to whom conservative lower segment caesarean section was performed. Group B consisted fifty women two whom caesarean section was performed by Misgav-Ladach method. Patients with previous caesarean section were excluded. Both the groups were compared on different parameters like extraction time, operation duration, mode of delivery, etc. Data was analysed in SPSS version 16.0 (Statistical Package for Social Science). RESULTS There was significant reduction in operating time, including extraction time in group B. There was no significant difference in terms of febrile morbidity, but rate of wound sepsis and wound dehiscence were significantly low in group B. Short hospital stay, early enteral feeding, lesser analgesia were noted in group B. The results of this study were highly encouraging. CONCLUSION This study makes a lucid indication over superiority of Misgav-Ladach method over the conventional method of caesarean section. Though some parameters studied in this study were more or less same in both methods, there was improvement in extraction time, operation duration, wound sepsis, wound dehiscence, hospital stay, enteral feeding, analgesia, etc. in Misgav-Ladach method. Our study yielded highly encouraging results comparable with other studies. Further studies should be carried out on much larger sample of patients for a more lucid and exact conclusion.
Authors and Affiliations
Subhi Vithal, Vandana Rai
Keywords
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- EP ID EP278010
- DOI 10.14260/jemds/2017/1358
- Views 93
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