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AI InsightBesides this, significant results were found in the dilatationgroup in terms of long-term scar thickness.
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Özet
Objectives: To evaluate the effects of cervical dilatation on postoperative maternal morbidity during a cesarean.Methods: Pregnant women who applied to Nisa Hospital between 01 June 2019 and 31 August 2019 wereincluded in this study. The cases were compared according to whether cervical dilatation was performed ornot. For all cases, evaluation included fever during the postpartum process, preoperative hemoglobin andleukocytes, postoperative 6th-hour hemoglobin and leukocytes, wound infection in postpartum 1st week, postpartum bleeding and postpartum 6th-month scar thickness.Results: In this study, 95 women were included. There were 48 (50.5%) women in the cervical dilatation groupand 47 (49.5%) women in the non-cervical dilatation group. The pre- and postoperative hemogram values ofthe individuals in both groups were compared. In the cervical dilatation group, hemoglobin was 11.9 (7.7-14.6) g/dL in the preoperative period and 11.4 (7.6-14.5) g/dL in the postoperative period (p<0.001). However,hemoglobin was 11.3 (6.4-13.0) g/dL in the preoperative period and 11.3 (8.3-15.2) g/dL in the postoperativeperiod of the non-cervical dilatation group (p=0.459). Concerning wound infection, fever, bleeding and scarthickness in both groups after birth, only the dilated group was found to be significantly thick in terms of scarthicknes in the sixth month (p<0.001).Conclusion: In our study the mean of differance of hemoglobin and hematocrit values were found to be significantly higher in the cervical dilatation group. Besides this, significant results were found in the dilatationgroup in terms of long-term scar thickness.