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Does early repair of episiotomy decrease postpartum blood loss: a randomized clinical trial. Does early repair of episiotomy decrease postpartum blood loss: a randomized clinical trial.

Auteur·e(s) :

Ozdegirmenci O, Erkaya S, Yalvac S, Dilbaz B, Altinbas S, Haberal A.

Année de publication :

2010

URL(s) :

http://www.ncbi.nlm.nih.gov/pubmed/19626571

Résumé (français)  :

Abstract (English)  :

OBJECTIVE: To assess whether early repair of episiotomy before expulsion of placenta affects postpartum blood loss. METHODS: Patients who had normal vaginal delivery with episiotomy were enrolled in the study. One hundred and twenty who were randomly allocated to either episiotomy repair before (Group 1: 60) or after spontaneous placental expulsion (Group 2: 60) had mediolateral episiotomy. Postpartum blood loss was measured with calibrated collecting bags, placed under the women immediately after the birth. Amount of the blood loss 1 h after the delivery was recorded and the two groups were compared for postpartum blood loss as a primary outcome. After the normality analysis with Kolmogorov-Smirnov Test, we used Mann-Whitney U test for comparing groups. The chi-square test was used for comparing presence of postpartum hemorrhage. RESULTS: Mean blood loss was slightly higher in Group 2 (259.5 +/- 148.9 vs. 310.6 +/- 195.2, P = 0.21) but the difference was not statistically significant. There was no statistically significant differences in hemoglobin and hemotocrit levels (DeltaHb and DeltaHct) in both groups at admission and postpartum. CONCLUSION: Early repair of episiotomy before expulsion of placenta has a minor positive effect on postpartum blood loss.

Sumário (português)  :

Resumen (español)  :

Remarques :

Argument (français) :

Argument (English):

Argumento (português):

Argumento (español):

Mots-clés :

➡ épisiotomie

Auteur·e de cette fiche :

Emmanuelle Phan — 24 Mar 2010