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Uterine Cooling during Cesarean Section to Reduce Intraoperative Blood Loss: A randomized controlled trial |
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| รหัสดีโอไอ | |
| Creator | Namphung Nawasirodom |
| Title | Uterine Cooling during Cesarean Section to Reduce Intraoperative Blood Loss: A randomized controlled trial |
| Contributor | Ussanee Sangkomkamhang, Thananit Sangkomkamhang |
| Publisher | PIMDEE Co., Ltd. |
| Publication Year | 2562 |
| Journal Title | Thai Journal of Obstetrics and Gynaecology |
| Journal Vol. | 27 |
| Journal No. | 1 |
| Page no. | 38-46 |
| Keyword | uterine cooling, cesarean section, postpartum hemorrhage |
| URL Website | https://tci-thaijo.org/index.php/tjog/index |
| Website title | www.tci-thaijo.org |
| ISSN | 0857-6084 |
| Abstract | Objectives: The aim was to compare uterine cooling and routine cesarean section as a means of reducing intraoperative blood loss.Materials and Methods: Pregnant women who underwent cesarean section at Khon Kaen Hospital between May and June, 2017 were randomly assigned to one of two groups: the uterine cooling (UC) group (n= 80) or the control group (n= 80). In the UC group, the uterus was wrapped using a sterile cooling swab while in the control group a routine cesarean section (CS) was performed.Results: In UC group, there was a statistically significant reduction in intra-operative blood loss compared with routine CS (252.8 ? 133.8 vs 472.9 ? 201.8 ml), mean difference 220 ml (95%CI 166.6-273.5). Uterotonic drugs use was significantly less in the UC group (1.3% vs 10%, p = 0.02). Length of hospital stay was significantly less in the UC group (3.0 ? 0.5 vs 3.2 ? 0.7 day; p = 0.01). There was no significant difference between the two groups in postpartum hemorrhage. There was no intraoperative hypothermia found.Conclusion: Uterine cooling was associated with a reduction in intraoperative blood loss among pregnant women undergoing cesarean section. |
