caa a22 4500 445309334 CHVBK 20180317142624.0 cr unu---uuuuu 170323e20110701xx s 000 0 eng 10.1007/s00404-010-1608-9 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1608-9 A randomized controlled study investigating the necessity of routine cervical dilatation during elective cesarean section [Elektronische Daten] [Miğraci Tosun, Mehmet Sakinci, Handan Çelik, Burcu Torumtay, Eren Yazici, Tayfun Alper, Erdal Malatyalioğlu] Objective: To investigate if it was necessary to dilate the cervix routinely during elective cesarean section and to determine the effects of this traditional maneuver on maternal morbidity. Methods: A total of 150 patients meeting eligibility criteria were enrolled in this prospective, randomized controlled study. Patients were allocated randomly into cervical dilatation group or non-dilated group. In the cervical dilatation group, the surgeon performed cervical dilatation by inserting a double-gloved index finger into the cervical canal of the patients after extraction of placenta and membranes. Endometrial cavity thickness of the patients at postoperative 24h, development of postoperative febrile-infectious morbidity and postoperative hemoglobin levels were evaluated and compared between the groups. Results: The two groups were comparable with regard to demographic and clinical properties. Mean postoperative endometrial cavity thickness of the dilated group was significantly less than the non-dilated group (6.87±2.50, 9.51±3.35 respectively, p<0.0001). The level of hemoglobin reduction was comparable between the groups (p=0.37). Febrile morbidity was seen in one patient in the dilated group. Endometritis or wound infection was not encountered in either group during the puerperium. Conclusions: Cervical dilatation seems to be an unnecessary intervention during the cesarean section. Springer-Verlag, 2010 Elective cesarean section nationallicence Cervical dilatation nationallicence Febrile-infectious morbidity nationallicence Tosun Miğraci Department of Obstetrics and Gynecology, Ondokuz Mayıs University Medical Faculty, 55139, Kurupelit, Samsun, Turkey aut Sakinci Mehmet Department of Obstetrics and Gynecology, Ondokuz Mayıs University Medical Faculty, 55139, Kurupelit, Samsun, Turkey aut Çelik Handan Department of Obstetrics and Gynecology, Ondokuz Mayıs University Medical Faculty, 55139, Kurupelit, Samsun, Turkey aut Torumtay Burcu Aksaray Şambaz Vehbi Ekecik Maternity Hospital, Aksaray, Turkey aut Yazici Eren Department of Obstetrics and Gynecology, Ondokuz Mayıs University Medical Faculty, 55139, Kurupelit, Samsun, Turkey aut Alper Tayfun Department of Obstetrics and Gynecology, Ondokuz Mayıs University Medical Faculty, 55139, Kurupelit, Samsun, Turkey aut Malatyalioğlu Erdal Department of Obstetrics and Gynecology, Ondokuz Mayıs University Medical Faculty, 55139, Kurupelit, Samsun, Turkey aut Archives of Gynecology and Obstetrics Springer-Verlag 284/1(2011-07-01), 85-89 0932-0067 284:1<85 2011 284 404 https://doi.org/10.1007/s00404-010-1608-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1608-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Tosun Miğraci Department of Obstetrics and Gynecology, Ondokuz Mayıs University Medical Faculty, 55139, Kurupelit, Samsun, Turkey aut NATIONALLICENCE 700 1- Sakinci Mehmet Department of Obstetrics and Gynecology, Ondokuz Mayıs University Medical Faculty, 55139, Kurupelit, Samsun, Turkey aut NATIONALLICENCE 700 1- Çelik Handan Department of Obstetrics and Gynecology, Ondokuz Mayıs University Medical Faculty, 55139, Kurupelit, Samsun, Turkey aut NATIONALLICENCE 700 1- Torumtay Burcu Aksaray Şambaz Vehbi Ekecik Maternity Hospital, Aksaray, Turkey aut NATIONALLICENCE 700 1- Yazici Eren Department of Obstetrics and Gynecology, Ondokuz Mayıs University Medical Faculty, 55139, Kurupelit, Samsun, Turkey aut NATIONALLICENCE 700 1- Alper Tayfun Department of Obstetrics and Gynecology, Ondokuz Mayıs University Medical Faculty, 55139, Kurupelit, Samsun, Turkey aut NATIONALLICENCE 700 1- Malatyalioğlu Erdal Department of Obstetrics and Gynecology, Ondokuz Mayıs University Medical Faculty, 55139, Kurupelit, Samsun, Turkey aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 284/1(2011-07-01), 85-89 0932-0067 284:1<85 2011 284 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer