Comparison the Effect of Uterine Closure Technique Difference on Uterine Niche After Caesarean Delivery.

Kanuni Sultan Suleyman Training and Research Hospital

Status: Unknown

Conditions: Closure; Incomplete, Uterus; Uterine Niche

Treatments: Other: Suture technique

Study type: Interventional

Funder types: Other

Identifiers

NCT04799457

2021/0077

Details and patient eligibility

About

Caesarean section scar may have result as isthmocele or scar detachment during pregnancy which is in few years after previous delivery. Uterine niche is the most effectively used measurement side of uterus to estimate for these detachment complications. The aim of this study is to support this niche site by supporting the classical uterine closure technique.

Full description

Cesarean delivery rate continues to increase in world in concern with uterine scar complications as placental invasion abnormalities, isthmocele or previous scar detachment during pregnancy (post surgical long term complications). Uterine niche is the presence of a hypoechoic area within the myometrium on the lower uterine segment, showing a defect of the myometrium at the site of a previous cesarean delivery. Some surgical techniques have been trying to support this area to prevent the post surgical long term complications. In this study the investigators have been trying to find out a new technique by applying supporting sutures during uterine closure in cesarean section. Three months after the surgery, the uterine niche measurement will be examined with ultrasonography for both study and classical groups and results will be compared between the groups.

Enrollment: 100 estimated patients

Sex: Female

Ages: 18 to 40 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Primigravid elective caesarian delivery candidates
• The participants will have not any uterine contraction or cervical dilatation before delivery.
• Having no systemic or obstetric illnesses
• Participants who are accept to participate in this study with their written consent.

Exclusion criteria

• Previous caesarian delivery
• Having uterine contraction or cervical dilatation
• Smoking cigarettes
• Having systemic or obstetric illnesses

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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100 participants in 2 patient groups

Classical caesarean group

No Intervention group

Description:

Care providers are applying standard caesarean procedure for participants.

Study caesarean group

Experimental group

Description:

Care providers are applying additional sutures to standard caesarean procedure for participants.

Treatment:

Other: Suture technique