The Effect of Placental Spontaneous Delivery versus Manual Removal on Blood Loss during Cesarean Section: A Comparative Study | ||
| Evidence Based Women's Health Journal | ||
| Volume 15, Issue 15, January 2025, Pages 1-7 PDF (350.27 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ebwhj.2025.356782.1422 | ||
| Authors | ||
| Maii Medhat Nawara1; Yasser Abu Talib2; Nancy Ebeed Gadallah* 3; Ahmed Gamal Abdelnasser1 | ||
| 1Department of Obstetrics and Gynecology, Faculty of medicine, Ain Shams University | ||
| 2Department of Obstetrics and Gynecology, faculty of Medicine, Ain Shams University | ||
| 3Faculty of medicine Ain shams University | ||
| Abstract | ||
| Objective: To compare manual removal versus spontaneous delivery of the placenta at CS regarding blood loss. Study Design: Randomized prospective comparative study. Setting: Ain Shams university maternity hospital from June 2022 till December 2022 Methods: A total of 200 women who were planned for elective cesarean section were randomized into 2 groups: group 1 assigned for spontaneous placental delivery and group 2 in which the placenta was manually removed. Intraoperative blood loss, operative time and postoperative hemoglobin drop were evaluated. Results: Group 2 had significantly higher blood loss (397.0±186.5 vs 245.5±113.3 ml) and more need for ecbolics when compared to group 1 with no significant difference between both groups in operative time. Conclusion: Spontaneous placental separation during cesarean section results in less blood loss than manual placental separation without significant prolongation of operative time. | ||
| Keywords | ||
| Blood loss; cesarean section; manual placental removal; spontaneous placental separation | ||
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