ISSN: 2474-9230
Authors: Ayatollahi H, Bahadori F, Jahangard S* and Rezazadeh N
Introduction: Cesarean delivery can lead to higher costs and complications such as infection, bleeding, anemia, and the possibility of blood transfusion, hysterectomy, and infertility compared to normal delivery. Therefore, in this study, we want to comparison the incidence of complications in cesarean section Consider the Joel-Cohen and Pfannenstiel methods. Materials and Methods: In this comparative study, 100 patients participated. All patients were randomly operated on by Pfannenstiel (n = 50) and Joel-Cohen (n = 50) methods. Time to start surgery until the fetus delivery, Time to start surgery until the end of the surgery, Number of blood-stained gases, Need to pethidine, As an indicator of postoperative pain, temperature above 37.8°C as fever and urinary residual more than 100 cc after urinary catheter withdrawal and after the first urination with nelaton catheter as urinary obstruction, among all Patients were compared. Results: In this study. The mean age was 26.72±7.43 years old in the Pfannenstiel group and 21.44±6.51 years old in the Joel- Cohen group (P = 0.84). The mean body mass index (BMI) was 24.84 ± 2.48 Kg / m² in the Pfannenstiel group and 24.50 ±3.14 Kg / m² in the Joel-Cohen group (P = 0.55). The mean gestational age in the Pfannenstiel group was 38.74 ± 1.58 weeks and in the Joel-Cohen group was 38.82 ± 1.58 weeks (P = 0.80). Fever and urinary obstruction were not seen in any of the patients. The mean duration of surgery, fetus delivery time, bleeding rate, length of hospital admission, and pain intensity after surgery was significantly higher in patients who underwent Pfannenstiel cesarean section, compared to the Joel-Cohen group. Conclusion: Joel-Cohen method is preferable to a method in the cesarean section.
Keywords: Pfannenstiel; Joel-Cohen; Cesarean Section; Duration of Hospitalization; Fever
