title: Safety of uneventful cesarean section in terms of hemorrhage.
abstract: OBJECTIVE
  Hemorrhage still continues to be reported as one of the leading causes of maternal mortality and morbidity. Intraoperative estimation of the blood loss seems to be complex and misleading as it is impaired by the amount of amniotic fluid and blood from the placenta. The present study was aimed to investigate the safety of intraoperative deciding on an uneventful cesarean section in a low risk patient population.
  
  
  METHODS
  One hundred patients free from hemorrhage risks and experienced an uneventful elective cesarean section, were included to the study. The decline in hemoglobin and hematocrit values, calculated blood loss, transfusion rate and presence of hemorrhage related symptoms and signs were accepted as the main outcomes of the study.
  
  
  RESULTS
  The average preoperative and postoperative hemoglobin values were detected as 12.09±0.18 g/dl and 10.72±1.39 g/dl, respectively. The average decrease in hemoglobin was 1.36±1.06 g/dl. The observed decrease in hemoglobin values were less than 10% in 34.4% of the patients. The average blood loss was calculated to be 517.06±417.55 ml. There were no patients with signs and symptoms of hemorrhage. Cross match transfusion ratio, transfusion probability and transfusion index was calculated as zero.
  
  
  CONCLUSIONS
  The decision of uneventful cesarean section provides obstetricians a safe postoperative and postpartum period after following standardized surgical procedures in terms of hemorrhage and related complications.
authors.affiliation: Department of Obstetrics and Gynecology, GATA Ankara, Turkey.
authors.forename: Serkan
authors.initials: S
authors.lastname: Bodur
authors.affiliation: Department of Obstetrics and Gynecology, GATA Haydarpasa Training Hospital Istanbul, Turkey.
authors.forename: Ismet
authors.initials: I
authors.lastname: Gun
authors.affiliation: Department of Obstetrics and Gynecology, Golcuk Military Hospital Kocaeli, Turkey.
authors.forename: Ozkan
authors.initials: O
authors.lastname: Ozdamar
authors.affiliation: Department of Public and Environmental Health, GATA Ankara, Turkey.
authors.forename: Mustafa Alparslan
authors.initials: MA
authors.lastname: Babayigit
keywords: Cesarean section; blood transfusion; postpartum hemorrhage; surgical blood loss