Peritoneal Closure at Caesarean Section; A Comparative Cross-Sectional Study

Abstract

Background: Cesarean section rates have been growing consistently on a worldwide scale. Peritoneal closure is important because it can help provide the best possible surgical results and recuperation after surgery. The surgical incision site could not receive enough support and protection if the peritoneal layer is not closed.

Objective: To compared the mean pain score following peritoneal closure with non-closure during Caesarean procedure.

Materials and Methods: Comparative cross-sectional study, conducted at department of obstetrics and gynecology of Hayatabad Medical Complex Peshawar. The research comprised 276 pregnant women with primigravida, who were having an elective caesarian section, categorized into two groups (Closure & Non-closure) of 138 participants in each. To prevent surgical skill bias, senior obstetricians with over three years of experience conducted Caesarean sections on both groups. SPSS (version 22) was used to enter and analyze all the data.

Results: A total of 138 with closure patients were observed in which 38(60%), 48(35%), and 7(5%) patients had mild, moderate, and sever pain respectively. While in closure group, a total 138 patients were observed in which 64(46%) had mild, 62(45%) moderate, and 12(9%) patients had severe pain. The p-values for mild, moderate, and severe pain across age groups were 0.571 and 0.681 for the non-closure and closure groups, respectively.

Conclusion: Our study highlights that peritoneum non-closure discomfort is less severe than peritoneum closure during a cesarean section. It is advised that during an emergency cesarean section, both visceral and parietal peritoneal closure can be safely skipped because the surgical result is better.