To view full study: http://www.iosrjournals.org/iosr-jdms/papers/Vol18-issue9/Series-4/A1809040107.pdf
Objective: To evaluate whether use of the Foetal Pillow (Safe Obstetric Systems, Shenfield, UK) reduces maternal and foetal morbidity in cesarean delivery at full cervical dilatation as compared to Modified Patwardhan technique.
Methods: A comparative prospective study was conducted in a tertiary teaching hospital, West Bengal between May 2016 to April 2017. A total of fifty women undergoing caesarean delivery at full dilatation (CSFD) were randomised into two groups i.e. Foetal Pillow (FP) and Modified Patwardhan (MP) group. Outcomes such as extension of uterine incision, operating time, uterine incision to delivery time and blood loss were measured.
Results: In FP group, only two (8%) had extension of uterine incision as compared to six patients (24%) in MP group, which was statistically significant (p 0.001). Operating time and incision-to-delivery interval was significantly shorter in FP group than MP group (p 0.02 & p 0.04 respectively). Blood loss was also significantly more in FP group than MP group (p 0.02).
Conclusion: The comparative study revealed that patients studied with Foetal pillow had far better outcome in terms of maternal and fetal morbidity compared to the patients studied with Modified Patwardhan technique.