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

Gonderilme tarihi: 05.04.2013 Kabul tarihi: 30.07.2013 Abstract 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.