Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: N/A
Brief Summary: Cesarean section is one of the most frequently performed major operations worldwide. It accounts for between 1% and 70% of deliveries depending on the facilities or country assessed. In Egypt, the cesarean section rate is 22%, with higher rates seen in private hospitals. In 2015 ,incidence of cesarean section rate in Woman Health Hospital in Assiut university is 51.3% of all deliveries.

Different Operational techniques For cesarean section have been defined aimed at reducing surgical time, making the surgery easier and more efficient, lowering costs,decreasing the risk of adverse effects and postoperative morbidity, as well as length of hospital stay.

Also, Intraoperative blood loss is one of important complications during cesarean section. A systematic review included twenty one studies, in 2011, revealed that increase incidence of intraoperative blood loss and blood transfusion with increase number of cesarean deliveries.also anemia in the pregnancy increase maternal morbidities included intraoperative blood loss. In Egypt, prevalence of Iron deficiency anemia among pregnant women about 51% of pregnant women.

After baby born by cesarean section and the placenta has been extracted, uterine incision is sutured either by temporary removal of the uterus from the abdominal cavity (exteriorization of the uterus) to facilitate uterine incision repair or it is repaired within the abdominal cavity (in situ repair). There had been few randomized controlled trials comparing intraoperative and postoperative morbidity following exteriorization of the uterus with non-exteriorization. The conclusions drawn from these trials have been conflicting.


Options:
A: Arm Label: morphine group; Type: ACTIVE_COMPARATOR; Interventions: Other: spinal anesthesia with intrathecal morphine | Arm Label: TAP group; Type: EXPERIMENTAL; Interventions: Other: TAP-block with ropivacaine and clonidine | Intervention Type: OTHER; Name: spinal anesthesia with intrathecal morphine; Assigned to Arm(s): morphine group | Intervention Type: OTHER; Name: TAP-block with ropivacaine and clonidine; Assigned to Arm(s): TAP group
B: Arm Label: Metoclopramide; Type: ACTIVE_COMPARATOR; Interventions: Drug: Metoclopramide | Arm Label: Phenylephrine infusion; Type: PLACEBO_COMPARATOR; Interventions: Drug: Phenylephrine infusion | Arm Label: Combination Group; Type: ACTIVE_COMPARATOR; Interventions: Drug: Combination Group | Intervention Type: DRUG; Name: Metoclopramide; Assigned to Arm(s): Metoclopramide | Intervention Type: DRUG; Name: Phenylephrine infusion; Assigned to Arm(s): Phenylephrine infusion | Intervention Type: DRUG; Name: Combination Group; Assigned to Arm(s): Combination Group
C: Arm Label: Exteriorization group; Type: OTHER; Interventions: Procedure: Repair of uterine incision, Procedure: Exteriorization of the uterus | Arm Label: Non exteriorization group; Type: OTHER; Interventions: Procedure: Repair of uterine incision, Procedure: Non exteriorization of the uterus | Intervention Type: PROCEDURE; Name: Repair of uterine incision; Assigned to Arm(s): Exteriorization group, Non exteriorization group | Intervention Type: PROCEDURE; Name: Exteriorization of the uterus; Assigned to Arm(s): Exteriorization group | Intervention Type: PROCEDURE; Name: Non exteriorization of the uterus; Assigned to Arm(s): Non exteriorization group
D: Arm Label: Phenylephrine bolus; Type: EXPERIMENTAL; Interventions: Drug: Phenylephrine bolus | Arm Label: Phenylephrine infusion; Type: EXPERIMENTAL; Interventions: Drug: phenylephrine infusion | Intervention Type: DRUG; Name: Phenylephrine bolus; Assigned to Arm(s): Phenylephrine bolus | Intervention Type: DRUG; Name: phenylephrine infusion; Assigned to Arm(s): Phenylephrine infusion

Answer: C