Author(s): Mahin Najafian1 , Nahid Shahbazian1 , Neda Torabifar
We aimed to determine the effect of manual removal and spontaneous delivery of placenta on operative time and post cesarean infection. It was a prospective study on 262 women with normal and term pregnancy. Those were selected for elective cesarean section in Razi and Imam khomeini hospitals in Ahvaz Jundishapur University of medical sciences. The subjects were select by simple random sampling in two groups based on the method of placental removal: study group (manual placental removal were 131) and control group (spontaneous placental removal were 131). Post cesarean endometritis was determined by at least two temperature > 38/50 6 h apart after the first 24 h. Till 10 days offer cesarean section and uterine tenderness or foul- smelling lochia. Operative time was recorded from the initial skin incision to the completion of skin closure. There was no significant difference in incidence of post cesarean infection between two groups. (Study group % 11/4 and control group % 9/9 p > 0.05). The mean time of interval between newborn birth and placental removal in spontaneous delivery was 4 1/2 minute as compare with manual removal group that was 1 1/1 minute (p < 0.001). However this span was more in study group there were no significant difference in total operating time between the two groups. The finding of our study suggests that, there is not an association between the method of placental delivery and post cesarean infection in elective cesarean section.