Cesarean Scar Defect Formation After First Cesarean Section.

Bursa Uludag University

Status: Unknown

Conditions: Cesarean Section Complications; Cesarean Wound; Dehiscence; Cesarean Wound Disruption

Treatments: Other: Transvaginal sonography at six months after cesarean section; Other: Transvaginal sonography at twelve months after cesarean section

Study type: Observational

Funder types: Other

Identifiers

NCT03966001

UU-SUAM-2019-8/34

Details and patient eligibility

About

This study is a prospective observational study which will monitor how cesarean section in the first pregnancy will develop a cesarean scar defect. Patients with planned cesarean section in their first pregnancy and those with an emergency cesarean section will be monitored for one year.

Full description

Cesarean scar defects, which may develop after cesarean deliveries, are associated with menstrual bleeding problems, infertility, and poor obstetric outcomes. No matter how excellent and standard surgical technique is applied, scar defects may develop after cesarean section. However, when cesarean operation decision is taken, the existing operational conditions can affect the formation of cesarean scar defect in the future. Although the surgical technique is the same, a planned cesarean operation and an emergency cesarean section may differ for a future cesarean scar defect that may develop in the future.

Enrollment: 250 estimated patients

Sex: Female

Ages: 18 to 45 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• 18-45-year-old patients
• Patients who have undergone a planned or emergency cesarean section within the 38-42th gestational week.

Exclusion criteria

• Spontaneous vaginal birth
• Preterm birth
• Pregnant women with an obstetrical or gynecological complication.

Trial design

250 participants in 2 patient groups

Planned Cesarean Group

Description:

Pregnant women undergoing a planned cesarean section at 38-42 gestational week.

Treatment:

Other: Transvaginal sonography at twelve months after cesarean section

Other: Transvaginal sonography at six months after cesarean section

Emergency Cesarean Group

Description:

Pregnant women who are planning to give normal birth between 38-42 weeks of gestation but have to been performed an urgent cesarean section due to an emergency such as acute fetal distress, cephalo-pelvic disproportion or another obstetrical condition.

Treatment:

Other: Transvaginal sonography at twelve months after cesarean section

Other: Transvaginal sonography at six months after cesarean section