Can the Pfannenstiel skin incision length be adjusted according to the fetal head during elective cesarean delivery?
نویسندگان
چکیده
Objective The study aims to determine whether the Pfannenstiel skin incision can be adjusted according fetal head's occipitofrontal diameter (OFD) during primary cesarean delivery. Background Eligible 114 nulliparous women delivered at term by section in which was performed OFD of head between June 2017 and September 2021 were included. Excluded cases non-vertex presentations, all emergency sections, severe preeclampsia, an active phase first stage labor second labor, placenta previa low-lying placenta, multiple pregnancies, uncontrolled gestational diabetes mellitus. Results Among eligible women, mean 116.1 ± 7.2 (99–138) mm, measurement length, found 122.8 9.2 (100–155) mm. difference kept remained within 10 mm 90 (82.5.2%), 10–20 17 (15.5%), more than 20 two (1.8%). This technique successful 109 (95.6%) out without extending incision. In five needed extended up 38 (8.7%), rectus abdominis muscle cut partially deliver head. umbilical artery pH 7.33 0 .05. No neonatal hypoxia encountered study. Conclusion with minimal margins error. may provide better cosmetic results avoiding unnecessarily prolonged incisions similar newborn outcomes. Clinical Trial Registration Clinicaltrials.gov , identifier [NCT05632796].
منابع مشابه
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ژورنال
عنوان ژورنال: Frontiers in Surgery
سال: 2023
ISSN: ['2296-875X']
DOI: https://doi.org/10.3389/fsurg.2023.1227338