Is routine cervical dilatation necessary during elective caesarean section? A randomised controlled trial
Article first published online: 15 JUN 2009
© 2009 The Authors. Journal compilation © 2009 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists
Australian and New Zealand Journal of Obstetrics and Gynaecology
Volume 49, Issue 3, pages 263–267, June 2009
How to Cite
GÜNGÖRDÜK, K., YILDIRIM, G. and ARK, C. (2009), Is routine cervical dilatation necessary during elective caesarean section? A randomised controlled trial. Australian and New Zealand Journal of Obstetrics and Gynaecology, 49: 263–267. doi: 10.1111/j.1479-828X.2009.00980.x
- Issue published online: 15 JUN 2009
- Article first published online: 15 JUN 2009
- Received 11 June 2008; accepted 17 December 2008.
Vol. 49, Issue 5, 575, Article first published online: 24 SEP 2009
- a randomised controlled trial;
- digital cervical dilatation;
- elective caesarean section;
- infectious morbidity
Objective: The purpose of this prospective randomised study was to determine the effect of routine cervical dilatation during elective caesarean section on maternal morbidity.
Methods: Participants with indication for elective caesarean section were randomly allocated to two groups. Group A (n = 200) women with intraoperative cervical dilatation; group B (n = 200) women with no intraoperative cervical dilatation.
Results: No demographic differences were observed between groups. There was no significant difference between groups in infectious morbidity (P = 0.87) (relative risk (RR) 1.11, 95% confidence interval (CI) 0.58–2.11), endometritis (P = 0.72) (RR 1.68, 95% CI 0.39–7.14), febrile morbidity (P = 0.66) (RR 1.21, 95% CI 0.51–2.87), wound infection (P = 0.82) (RR 1.11, 95% CI 0.44–2.81), endometritis (P = 0.72) (RR 1.68, 95% CI 0.39–7.14) or urinary tract infection (P = 1.00) (RR 1.00, 95% CI 0.28–3.50), and estimated blood loss (P = 0.2). However, group A had longer operative times compared with the group B (P = 0.01).
Conclusion: Intraoperative digital cervical dilatation during elective caesarean section did not reduce blood loss and postoperative infectious morbidity. The routine digital cervical dilatation during elective caesarean section is not recommended.