Comparative Analysis of Modified MISGAV Ladach and Conventional Caesarean Section

Objective: To compare the advantages of the Modified Misgav Ladach caesarean section with conventional caesarean section. Study design: Quasi- experimental study Place and duration of study: Mother and Child Health Centre, Pakistan Institute of Medical Sciences, Islamabad, from1st January 2004 to 31st December 2007. Materials and Methods: 100 patients (50 in each group) undergoing first cesarean section at 37 weeks and above were included in the study. The exclusion criteria was previous caesarean section, previous major abdominal surgeries, uterine rupture, diabetes mellitus, past history of postpartum hemorrhage, endometriosis, bleeding disorder, severe anemia, and intrapartum febrile illness. Results: The mean operating time was 32.46 minutes for modified misgav ladach versus 52.76 minutes for conventional procedure (P = 0.000). The mean number of sutures used was 3.5 versus 4.8 (P = 0.000), mean period of mobilization since operation was 15.70 hours versus 19.78 hours (P = 0.000), mean hemoglobin loss was 0.762 g/dl versus 1.126g/dl (P = 0.024) respectively. No difference was found in hematocrit loss, postoperative hospital stay and wound infections. Conclusion: The Modified Misgav Ladach cesarean section confers benefits such as reduced hemoglobin loss, conservation of time, suture materials, and rapid mobilization. The Modified Misgav Ladach technique of cesarean section is a step ahead of refinements in evolution of cesarean section.