Use of manual strangulation technique to reduce blood loss at elective cesarean section

Purpose: to evaluate the effect of manual strangulation of the uterine isthmus on the amount of blood loss during elective cesarean section. materials and methods: participants with indication of elective cesarean section were randomly allocated to two groups. in group 1 (71 women), manual strangulation of the uterine isthmus right after the removal of the placenta was applied, whereas no such technique was applied in group 2 (66 women). both groups then were compared in terms of haematocrit change on the first postoperative day. results:no demographic difference was observed between groups. the mean difference between the preoperative and postoperative 24 h haematocrit values was significantly lower in group 1 (3.05±2.57) compared to the group 2 (4.35±2.38; p<0.01). conclusion: the manual strangulation of the uterine isthmus right after the removal of the placenta may reduce the blood loss at uncomplicated elective cesarean section.