THE VALUE OF USING PLATELET RICH PLASMA DURING CAESAREAN SECTION TO ENHANCE SKIN WOUND HEALING IN PREGNANT DIABETIC WOMEN

Background: Diabetes is an independent risk factor for bad wound healing during pregnancy. Platelet rich plasma, PRP is a volume of blood having a high concentration of platelets which improves the adhesive properties and the process of wound healing.Objective: To evaluate the value of using platelet rich plasma during caesarean section to enhance wound healing in pregnant diabetic women.Methods: This prospective randomized control study was carried out on 60 patients and were divided into two groups, each had 30 patients. The control group included 30 patients with wounds that were cleaned with normal saline and the study group included 30 patients with wounds that were cleaned with normal saline with PRP solution injected in subcutaneous tissue of wound after closure of the sheath. The patients were examined by the physician on day 3, day 7 and day 30 after the procedure. Pain was evaluated by the visual analog scoring system (VAS). The wound healing was evaluated by REEDA scale.Results: Ecchymosis, discharge, Approximation, oedema score, redness scores ‎‎(REEDA scale) were significantly improved in in the PRP group compared ‎to the control group.‎ VAS score was significantly decreased in the PRP group compared to the ‎control group after 3rd day post CS. Cosmetic appearance was significantly improved in the PRP group compared ‎to the control group on the 30th day post CS.Conclusion: PRP seems to be an efficient therapeutic method for wound healing (as revealed by the REEDA score) regarding redness, edema, discharge, and ecchymosis. In addition, better wound healing and cosmoses were recorded in PRP group compared to the control group.