title: Dilatation of the cervix at non-labour caesarean section: Does it improve the patients' perception of pain post-operatively?
abstract: Our aim was to determine the effect of cervical dilatation at non-labour caesarean section on post-operative pain and maternal morbidity. This prospective, randomised, single-blinded trial was conducted from March 2013 to February 2014. In all, 199 patients were enrolled in the study: 102 in non-dilated group and 97 in cervical dilatation group. Based on Visual Analogue Scale, there were no significant differences between the two groups on post-operative 8th, 24th and 48th hour pain scores. We observed thinner endometrial cavity thickness, shorter operation time and shorter hospitalisation duration in cervical dilatation group. However, change in haemoglobin concentrations and puerperal fever rates were found to be comparable between the groups. In conclusion, intra-operative cervical dilatation does not seem to benefit in terms of post-operative pain, change in haemoglobin concentrations or puerperal fever.
authors: a Department of Obstetrics and Gynecology , Akdeniz University Faculty of Medicine , Antalya , Turkey.
authors: M
authors: M
authors: Sakinci
authors: b Department of Obstetrics and Gynecology , Kanuni Sultan Suleyman Teaching and Research Hospital , Istanbul , Turkey.
authors: O
authors: O
authors: Kuru
authors: a Department of Obstetrics and Gynecology , Akdeniz University Faculty of Medicine , Antalya , Turkey.
authors: S
authors: S
authors: Olgan
authors: b Department of Obstetrics and Gynecology , Kanuni Sultan Suleyman Teaching and Research Hospital , Istanbul , Turkey.
authors: S
authors: S
authors: Gunduz
authors: c Department of Obstetrics and Gynecology , Haseki Teaching and Research Hospital , Istanbul , Turkey.
authors: V L
authors: VL
authors: Bakir
authors: b Department of Obstetrics and Gynecology , Kanuni Sultan Suleyman Teaching and Research Hospital , Istanbul , Turkey.
authors: O
authors: O
authors: Kaya
authors: b Department of Obstetrics and Gynecology , Kanuni Sultan Suleyman Teaching and Research Hospital , Istanbul , Turkey.
authors: I T
authors: IT
authors: Bakirci
mesh_terms: D000328:Adult; D002584:Cervix Uteri; D002585:Cesarean Section / Q000009:adverse effects* / Q000379:methods*; D004106:Dilatation; D005260:Female; D006801:Humans; D007430:Intraoperative Care; D007902:Length of Stay; D061646:Operative Time; D010147:Pain Measurement; D058748:Pain Perception; D010149:Postoperative Pain / Q000209:etiology*; D011247:Pregnancy; D011446:Prospective Studies; D016037:Single-Blind Method; D055815:Young Adult
keywords: cervical dilatation; elective caesarean; maternal morbidity; post-operative pain