The Experts below are selected from a list of 12 Experts worldwide ranked by ideXlab platform
F H Fardi - One of the best experts on this subject based on the ideXlab platform.
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Manual removal or spontaneous Placental Delivery and postcesarean endometritis and bleeding
International Journal of Gynecology & Obstetrics, 2004Co-Authors: Sedigheh Dehbashi, M Honarvar, F H FardiAbstract:Objectives: To compare the effect of Manual removal and spontaneous Delivery of placenta on postcesarean bleeding and endometritis. Methods: In this prospective study 400 pregnant women undergoing elective cesarean Delivery were randomly assigned to two groups: spontaneous Placental Delivery (200 women) and Manual Placental Delivery (200). No antibiotic prophylaxis was administered in either group. The significance of blood loss due to cesarean Delivery was defined by a drop in hemoglobin concentration of more than 1 g/dl 24 h after Delivery in comparison with preoperative hemoglobin concentration. Endometritis was diagnosed in patients who developed clinical signs of fever and suprapubic tenderness 48 h after Delivery. We analyzed the data using a t-test. Results: The overall endometritis rate was 27%, in 40 women in the spontaneous Placental Delivery group (20%) and 68 women in the Manual Placental removal group (34%). There was a statistically significant difference between the two groups (P=0.001). Significant blood loss was experienced by 52 women (26%) in the spontaneous Placental Delivery group vs. 100 women (50%) in the Manual Placental Delivery group. There was a statistically significant difference in blood loss between the two groups (P=0.000; RR=1.92). Conclusion: Endometritis and blood loss in cesarean Delivery is increased by Manual removal of the placenta compared with the spontaneous method of Placental removal.
Shadab Wajeeha - One of the best experts on this subject based on the ideXlab platform.
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Comparison of Blood Loss in Manual and Spontaneous Removal of Placenta in Caesarean Section
Rawalpindi Medical University Rawalpindi Pakistan (https: rmur.edu.pk ), 2020Co-Authors: Ashraf Sabeen, Awan, Azra Saeed, Tabassum Hina, Ashraf Omair, Fatima Touseef, Shadab WajeehaAbstract:Introduction: Efforts should be made to minimize the blood loss at the time of caesarean section. The techniques used to reduce the blood loss include finger splitting versus scissor cutting of incision, in situ stitching versus exteriorization and stitching of uterus and finally spontaneous or Manual removal of the placenta. Objective: The main objective of this study is to correlate the frequency of loss of blood between the placenta removed Manually and spontaneously during caesarean section. Methods: Randomized controlled trial in the department of Obstetrics and Gynecology, Fauji Foundation Hospital, Rawalpindi. The sample is collected through Consecutive (non- probability) sampling. The study was conducted after approval from the hospital ethical and research committee. Informed written consent was taken from all the patients. The patients were divided into two groups, group A and group B randomly by using random table numbers. Group A had spontaneous Placental Delivery. Group B had Manual Placental Delivery. Each patient was examined thoroughly and detailed history was taken. Data Analysis: Data was analyzed using SPSS 20 for windows. The frequency and percentage of blood loss were measured. A chi-square test was applied to correlate the blood loss between the two groups. p values <0.05 were considered statistically significant. Effect modifiers like age, gestational age, parity were controlled by stratification. Results: The blood loss was compared between both groups using the chi-square test not assuming null-hypothesis. The blood loss was comparatively high in-group in which the placenta was removed Manually (p=0.007)
Ashraf Sabeen - One of the best experts on this subject based on the ideXlab platform.
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Comparison of Blood Loss in Manual and Spontaneous Removal of Placenta in Caesarean Section
Rawalpindi Medical University Rawalpindi Pakistan (https: rmur.edu.pk ), 2020Co-Authors: Ashraf Sabeen, Awan, Azra Saeed, Tabassum Hina, Ashraf Omair, Fatima Touseef, Shadab WajeehaAbstract:Introduction: Efforts should be made to minimize the blood loss at the time of caesarean section. The techniques used to reduce the blood loss include finger splitting versus scissor cutting of incision, in situ stitching versus exteriorization and stitching of uterus and finally spontaneous or Manual removal of the placenta. Objective: The main objective of this study is to correlate the frequency of loss of blood between the placenta removed Manually and spontaneously during caesarean section. Methods: Randomized controlled trial in the department of Obstetrics and Gynecology, Fauji Foundation Hospital, Rawalpindi. The sample is collected through Consecutive (non- probability) sampling. The study was conducted after approval from the hospital ethical and research committee. Informed written consent was taken from all the patients. The patients were divided into two groups, group A and group B randomly by using random table numbers. Group A had spontaneous Placental Delivery. Group B had Manual Placental Delivery. Each patient was examined thoroughly and detailed history was taken. Data Analysis: Data was analyzed using SPSS 20 for windows. The frequency and percentage of blood loss were measured. A chi-square test was applied to correlate the blood loss between the two groups. p values <0.05 were considered statistically significant. Effect modifiers like age, gestational age, parity were controlled by stratification. Results: The blood loss was compared between both groups using the chi-square test not assuming null-hypothesis. The blood loss was comparatively high in-group in which the placenta was removed Manually (p=0.007)
Sedigheh Dehbashi - One of the best experts on this subject based on the ideXlab platform.
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Manual removal or spontaneous Placental Delivery and postcesarean endometritis and bleeding
International Journal of Gynecology & Obstetrics, 2004Co-Authors: Sedigheh Dehbashi, M Honarvar, F H FardiAbstract:Objectives: To compare the effect of Manual removal and spontaneous Delivery of placenta on postcesarean bleeding and endometritis. Methods: In this prospective study 400 pregnant women undergoing elective cesarean Delivery were randomly assigned to two groups: spontaneous Placental Delivery (200 women) and Manual Placental Delivery (200). No antibiotic prophylaxis was administered in either group. The significance of blood loss due to cesarean Delivery was defined by a drop in hemoglobin concentration of more than 1 g/dl 24 h after Delivery in comparison with preoperative hemoglobin concentration. Endometritis was diagnosed in patients who developed clinical signs of fever and suprapubic tenderness 48 h after Delivery. We analyzed the data using a t-test. Results: The overall endometritis rate was 27%, in 40 women in the spontaneous Placental Delivery group (20%) and 68 women in the Manual Placental removal group (34%). There was a statistically significant difference between the two groups (P=0.001). Significant blood loss was experienced by 52 women (26%) in the spontaneous Placental Delivery group vs. 100 women (50%) in the Manual Placental Delivery group. There was a statistically significant difference in blood loss between the two groups (P=0.000; RR=1.92). Conclusion: Endometritis and blood loss in cesarean Delivery is increased by Manual removal of the placenta compared with the spontaneous method of Placental removal.
Tabassum Hina - One of the best experts on this subject based on the ideXlab platform.
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Comparison of Blood Loss in Manual and Spontaneous Removal of Placenta in Caesarean Section
Rawalpindi Medical University Rawalpindi Pakistan (https: rmur.edu.pk ), 2020Co-Authors: Ashraf Sabeen, Awan, Azra Saeed, Tabassum Hina, Ashraf Omair, Fatima Touseef, Shadab WajeehaAbstract:Introduction: Efforts should be made to minimize the blood loss at the time of caesarean section. The techniques used to reduce the blood loss include finger splitting versus scissor cutting of incision, in situ stitching versus exteriorization and stitching of uterus and finally spontaneous or Manual removal of the placenta. Objective: The main objective of this study is to correlate the frequency of loss of blood between the placenta removed Manually and spontaneously during caesarean section. Methods: Randomized controlled trial in the department of Obstetrics and Gynecology, Fauji Foundation Hospital, Rawalpindi. The sample is collected through Consecutive (non- probability) sampling. The study was conducted after approval from the hospital ethical and research committee. Informed written consent was taken from all the patients. The patients were divided into two groups, group A and group B randomly by using random table numbers. Group A had spontaneous Placental Delivery. Group B had Manual Placental Delivery. Each patient was examined thoroughly and detailed history was taken. Data Analysis: Data was analyzed using SPSS 20 for windows. The frequency and percentage of blood loss were measured. A chi-square test was applied to correlate the blood loss between the two groups. p values <0.05 were considered statistically significant. Effect modifiers like age, gestational age, parity were controlled by stratification. Results: The blood loss was compared between both groups using the chi-square test not assuming null-hypothesis. The blood loss was comparatively high in-group in which the placenta was removed Manually (p=0.007)