No. This randomized, controlled trial of 258 women undergoing primary or repeat cesarean delivery at ≥32 weeks of gestation found that elimination of the bladder flap did not increase intraoperative or postoperative complications. It also significantly shortened the interval from skin incision to delivery (median of 9 minutes [range, 1–43 minutes] versus 10 minutes [range, 2–70 minutes]; P = .04). There was no difference in total operating time, however (51 minutes in both groups; P = .1).
Tuuli MG, Odibo AO, Fogertey P, Roehl K, Stamilio D, Macones GA. Utility of the bladder flap at cesarean delivery. A randomized controlled trial. Obstet Gynecol. 2012;119(4):815–821.
EXPERT COMMENTARY
Baha M. Sibai, MD Professor of Obstetrics and Gynecology and Director of the Fellowship Program, Division of Maternal-Fetal Medicine, University of Texas Health Science Center at Houston.
