gynecology and obstetrics medical project, gynecology journal, obstetrics, gynecologic oncology, reproductive medicine, gynecological endoscopy, ultrasonography, gynecology articles

Ginekologia i Poloznictwo
ISSN 1896-3315 e-ISSN 1898-0759

Mechanical dilatation of the cervix transabdominally in elective cesarean section for reducing postpartum endometritis


Author(s): Nadim A, Eissa Y*, El Sayed M and Maaty A

Aim: This study aims to assess the effect of transabdominal cervical dilatation during elective CS in decreasing the incidence of postpartum endometritis.

Patients and methods: It was a randomized controlled clinical trial conducted at the labor ward of the Ain-Shams University Maternity Hospital, in the period from August 2020 to February 2021. The study was include 220 patients who are consenting to be recruited in the study and fulfilling the inclusion criteria. If any of the patients refused to continue in the study or any major complication occur which makes the patient not fit in this study as she didn’t meet the inclusion criteria, this patient was considered as a drop out which is included in sample size calculation. The patients will be divided into 2 groups, Group (A) (N=110): CS with mechanical cervical dilatation and Group (B) (N=110): CS without cervical dilatation.

Results: There was no statistically significant between both groups regarding postpartum endometritis or wound sepsis. There was no statistically significant difference between both groups regarding hemoglobin drop or postoperative hospital stay. None of patients in both groups developed cervical injury during transabdominal cervical dilatation during elective CS. There was no statistically significance difference between both groups regarding transabdominal mechanical dilatation of cervix during elective CS and cervical injury during dilatation.

Conclusion: Dilatation of the cervix during cesarean section compared with no dilatation of the cervix did not influence the risk of postpartum endometritis, wound infection, drop between preoperative and postoperative hemoglobin and postoperative hospital stay.