Comparison of intra-operative blood loss by blunt versus sharp expansion of the uterine incision at lower segment cesarean delivery

Aim: to compare mean intra-operative blood loss by blunt versus sharp expansion of the uterine incision at lower segment cesarean delivery. methods: total 212 females with singleton pregnancy of 18-35 years age,undergoing cesarean section were selected. women with multiple pregnancy and high risk of bleeding e.g. placenta previa,placental abruption,pre eclampcia,bleeding disorders were excluded. selected patients were divided randomly into two groups a and b by lottery method. group a included 106 women who had blunt expansion of lower segment uterine incision with fingers. group b included 106 women who had sharp expansion of uterine incision with scissors. intra-operative blood loss was noted in both groups. results: the mean age of women in group a was 26.51±4.69 years and in group b was 25.51±5.17 years. the mean gestational age in group a was 39.38±1.32 weeks and in group b was 39.17±1.30 weeks. mean intra-operative blood loss in group a (blunt dissection group) was 365.51±64.77 ml while in group b (sharp dissection group) was 407.41±62.67 ml (p-value<0.0001). conclusion: this study concluded that blunt dissection for expansion of the uterine incision is a better technique than sharp dissection to reduce the blood loss and subsequent prevention of blood transfusion and its complications.