Sharp compared with blunt fascial incision at cesarean delivery: a randomized controlled trial with each case as her own control
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Sharp compared with blunt fascial incision at cesarean delivery : a randomized controlled trial with each case as her own control. / Aabakke, Anna J M; Hare, Kristine J; Krebs, Lone; Secher, Niels J.
In: European Journal of Obstetrics & Gynecology and Reproductive Biology, Vol. 172, 01.2014, p. 40-5.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Sharp compared with blunt fascial incision at cesarean delivery
T2 - a randomized controlled trial with each case as her own control
AU - Aabakke, Anna J M
AU - Hare, Kristine J
AU - Krebs, Lone
AU - Secher, Niels J
N1 - Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.
PY - 2014/1
Y1 - 2014/1
N2 - OBJECTIVE: To compare patient preference for either sharp incision with scissors or blunt manual cleavage of the fascia at cesarean delivery in a randomized controlled trial in which each woman was her own control.STUDY DESIGN: Women undergoing primary cesarean delivery (n=34) were randomized to side distribution of sharp or blunt incision of the fascia (sharp right and blunt left or blunt right and sharp left) and followed three months postoperatively. The primary outcome was patient preference for the right or left side of the scar 3 months postoperatively and modeled by polytomous logistic regression. The secondary outcome was difference in pain between the two sides measured on a 0.0-10.0 numerical rating scale at 1, 3, and 7 days and 1 and 3 months postoperatively. Pain scores were analyzed with a Wilcoxon signed rank test.RESULTS: 28 cases were analyzed and no significant difference was found in preference after three months. Nine women preferred the sharp (32%, 95% CI 16-52%) and 7 the blunt side (25%, 95% CI 11-45%) (P=0.804). Pain scores did not differ significantly between the two sides at any time postoperatively either at rest or during mobilization.CONCLUSION: No significant difference was found in patient preference with regard to sharp or blunt incision of the fascia, nor was there a significant difference in postoperative pain scores.CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov: www.clinicaltrials.org;NCT01297725.
AB - OBJECTIVE: To compare patient preference for either sharp incision with scissors or blunt manual cleavage of the fascia at cesarean delivery in a randomized controlled trial in which each woman was her own control.STUDY DESIGN: Women undergoing primary cesarean delivery (n=34) were randomized to side distribution of sharp or blunt incision of the fascia (sharp right and blunt left or blunt right and sharp left) and followed three months postoperatively. The primary outcome was patient preference for the right or left side of the scar 3 months postoperatively and modeled by polytomous logistic regression. The secondary outcome was difference in pain between the two sides measured on a 0.0-10.0 numerical rating scale at 1, 3, and 7 days and 1 and 3 months postoperatively. Pain scores were analyzed with a Wilcoxon signed rank test.RESULTS: 28 cases were analyzed and no significant difference was found in preference after three months. Nine women preferred the sharp (32%, 95% CI 16-52%) and 7 the blunt side (25%, 95% CI 11-45%) (P=0.804). Pain scores did not differ significantly between the two sides at any time postoperatively either at rest or during mobilization.CONCLUSION: No significant difference was found in patient preference with regard to sharp or blunt incision of the fascia, nor was there a significant difference in postoperative pain scores.CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov: www.clinicaltrials.org;NCT01297725.
KW - Adult
KW - Cesarean Section
KW - Cicatrix
KW - Double-Blind Method
KW - Fasciotomy
KW - Female
KW - Humans
KW - Logistic Models
KW - Pain, Postoperative
KW - Patient Preference
KW - Pregnancy
KW - Surgical Wound Infection
KW - Treatment Outcome
KW - Journal Article
KW - Randomized Controlled Trial
KW - Research Support, Non-U.S. Gov't
U2 - 10.1016/j.ejogrb.2013.10.029
DO - 10.1016/j.ejogrb.2013.10.029
M3 - Journal article
C2 - 24275233
VL - 172
SP - 40
EP - 45
JO - European Journal of Obstetrics, Gynecology and Reproductive Biology
JF - European Journal of Obstetrics, Gynecology and Reproductive Biology
SN - 0301-2115
ER -
ID: 179628529