دورية أكاديمية
Maternal and fetal effect of misgav ladach cesarean section in nigerian women: a randomized control study.
| العنوان: | Maternal and fetal effect of misgav ladach cesarean section in nigerian women: a randomized control study. |
|---|---|
| المؤلفون: | Ezechi O; Maternal and Reproductive Health Research Unit, Clinical Sciences Division, Nigerian Institute of Medical Research, Yaba, Nigeria., Ezeobi P; Maternal and Reproductive Health Research Unit, Clinical Sciences Division, Nigerian Institute of Medical Research, Yaba, Nigeria., Gab-Okafor C; Maternal and Reproductive Health Research Unit, Clinical Sciences Division, Nigerian Institute of Medical Research, Yaba, Nigeria., Edet A; Newcapstone Specialist Hospital, Ijesha, Nigeria., Nwokoro C; Department of Obstetrics and Gynecology, Havana Specialist Hospital, Nigeria., Akinlade A; Department of Obstetrics and Gynecology, Rao Specialist Hospital, Lagos, Nigeria. |
| المصدر: | Annals of medical and health sciences research [Ann Med Health Sci Res] 2013 Oct; Vol. 3 (4), pp. 577-82. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Nigeria Medical Association, Enugu State Country of Publication: India NLM ID: 101585351 Publication Model: Print Cited Medium: Print ISSN: 2141-9248 (Print) Linking ISSN: 21419248 NLM ISO Abbreviation: Ann Med Health Sci Res Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: 2016- : [Enugu] : Nigeria Medical Association, Enugu State Original Publication: [Enugu] : Nigeria Medical Association, Enugu State, [2011]- |
| مستخلص: | Background: The poor utilisation of the Misgav-Ladach (ML) caesarean section method in our environment despite its proven advantage has been attributed to several factors including its non-evaluation. A well designed and conducted trial is needed to provide evidence to convince clinician of its advantage over Pfannenstiel based methods. Aim: To evaluate the outcome of ML based caesarean section among Nigerian women. Subjects and Methods: Randomised controlled open label study of 323 women undergoing primary caesarean section in Lagos Nigeria. The women were randomised to either ML method or Pfannenstiel based (PB) caesarean section technique using computer generated random numbers. Results: The mean duration of surgery (P < 0.001), time to first bowel motion (P = 0.01) and ambulation (P < 0.001) were significantly shorter in the ML group compared to PB group. Postoperative anaemia (P < 0.01), analgesic needs (P = 0.02), extra suture use, estimated blood loss (P < 0.01) and post-operative complications (P = 0.001) were significantly lower in the ML group compared to PB group. Though the mean hospital stay was shorter (5.8 days) in the ML group as against 6.0 days, the difference was not significant statistically (P = 0.17). Of the fetal outcome measures compared, it was only in the fetal extraction time that there was significant difference between the two groups (P = 0.001). The mean fetal extraction time was 162 sec in ML group compared to 273 sec in the PB group. Conclusions: This study confirmed the already established benefit of ML techniques in Nigerian women, as it relates to the postoperative outcomes, duration of surgery, and fetal extraction time. The technique is recommended to clinicians as its superior maternal and fetal outcome and cost saving advantage makes it appropriate for use in poor resource setting. |
| References: | Cochrane Database Syst Rev. 2008 Jan 23;(1):CD004662. (PMID: 18254057) Cochrane Database Syst Rev. 2007 Jan 24;(1):CD004453. (PMID: 17253508) J Obstet Gynaecol. 1999 Jan;19(1):30-3. (PMID: 15512217) Acta Obstet Gynecol Scand. 1999 Aug;78(7):615-21. (PMID: 10422908) Acta Obstet Gynecol Scand. 1998 Oct;77(9):929-31. (PMID: 9808382) Int Surg. 1977 Feb;62(2):97-9. (PMID: 844976) Eur J Obstet Gynecol Reprod Biol. 1994 Feb;53(2):121-2. (PMID: 8194647) World J Surg. 1993 May-Jun;17(3):419. (PMID: 8337891) Int J Gynaecol Obstet. 1995 Mar;48(3):273-6. (PMID: 7781869) Acta Obstet Gynecol Scand. 2002 Nov;81(11):1040-6. (PMID: 12421172) Acta Obstet Gynecol Scand. 1999 Jan;78(1):37-41. (PMID: 9926890) |
| فهرسة مساهمة: | Keywords: Cesarean section; Maternal and neonatal morbidity; Misgav Ladach |
| تواريخ الأحداث: | Date Created: 20140101 Date Completed: 20131231 Latest Revision: 20211021 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC3868127 |
| DOI: | 10.4103/2141-9248.122119 |
| PMID: | 24380012 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2141-9248 |
|---|---|
| DOI: | 10.4103/2141-9248.122119 |