Opening Versus Non Opening of the Cervical Canal During Caeserian Section

Objectives: This study was designed to detect the effects of cervical canal opening during elective caeserian section on postoperative paramters. Patients and Methods: This randomized controlled study was done at Kasr El Aini Hospital and included 539 pregnants undergoing elective caeserian delivery with a closed cervix. In 299 cases, opening of the cervical canal was done by the surgeon’s double gloved index finger while in 240 cases, no cervical canal opening was done. Both groups were compared regarding drop of hemoglobin concentration and haematocrite value, need of postoperative blood transfusion, operative time, postoperative fever, wound infection, and scar integrity. Results: About 539 cases underwent elective caeserian section. In 299 cases, the cervix was opened by double gloved index finger (group A) and in the other 240 cases, the cervix was not opened (group B). The mean hemoglobin in the Group A was 11.5±2 while in Group B, it was 11.9±1.7. Fever was detected in 10 cases (7%) while in the Group B 11 cases (5%). The decreased hemoglobin 0.5gm/dl, in Group A it was detected in 10 cases (3%) while in Group B 10 cases (4%). wound infection in both groups, in Group A 19 cases (6%) while in Group B 5 cases (2%). Endometritis reported in the Group A in 4 cases (1.3%) while in the Group B is 2 cases (0.8%). Conclusion: There is no effect of cervical opening during caeserian section in reduction of posteperative morbidity.