Insitu compared with exteriorized uterine repair at cesarean delivery

Introduction: The cesarean rate is very high in Iran, so it is important to decrease cesarean section complications. So we decided to compare the complications of two method of cesarean section delivery (in-situ uterine repair versus exteriorization repair). Materials and Methods: This study includes 128 women who underwent cesarean delivery under spinal anesthesia and were randomly assigned to two groups based on the site of uterine repair (64 women in each group). Pain, nausea, vomiting, means operative time, means Hb before and after surgery were assessed. Finally we did descriptive and inferential statistics by using SPSS software. Results: In this study 64 patients randomized for exteriorized uterine repair group and 64 patients randomized for insitu uterine repair group. The mean time of surgery was shorter in women with insitu repair when compared to those with the uterus exteriorized (p=0.012). The severity of pain after surgery was low in women with insitu repair compared to those with the uterine exteriorization (p=0.000). Also the frequency of nausea and vomiting during surgery was low in women with insitu repair compared to those with the uterus exteriorized (p=0.000). There was no statistical difference between two groups in relation to mean hemoglobin level before and after surgery (p=0.898). Conclusion: In this study, we found significant differences in complications of two techniques for uterine repair in cesarean delivery. So insitu uterine repair in caesarean section is a valid option.