Incidence of Uterine Cesarean Scar Niche After Cesarean Delivery

Beni-Suef University

Status: Active, not recruiting

Conditions: Cesarean Section; Dehiscence

Treatments: Procedure: cesarean section

Study type: Observational

Funder types: Other

Identifiers

NCT05900492

cesarean scar niche R.F

Details and patient eligibility

About

To assess the incidence of cesarean scar niche and its risk factors in a prospectively collected population.

Full description

It will be carried out in Gynecology and Obstetrics department in Beni-Suef University Hospital using Ultrasound:

Six months after the cesarean delivery, participants will be invited to the gynecologic outpatient clinic or department for ultrasound (US) examination to detect the presence of the niche.

Women without contraception will be examined during the follicular phase of the menstrual cycle to avoid an eventual early pregnancy. Otherwise, a random phase of the menstrual cycle will be accepted. Women who are pregnant at the time of US will be excluded. Women will be examined in the lithotomy position with an empty bladder. The uterus will be examined in a standardized way, with trans-vaginal US performed first.

For the diagnosis of cesarean scar niche (defined as an anechoic defect in the anterior wall of the lower uterine segment, communicating with the endometrial cavity),we will use a predetermined definition of a defect at least 2.0 mm deep

Enrollment: 300 estimated patients

Sex: Female

Ages: 20 to 40 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Delivery by cesarean section.
2. More than 6 months after delivery.
3. Cesarean section by senior resident or assistant lecturer.

Exclusion criteria

1. Single layer technique in uterine closure.
2. Uterine anomaly.

Trial design

300 participants in 3 patient groups

previous 1 cesarean section

Description:

patient who had her first Cesarean section

Treatment:

Procedure: cesarean section

previous 2 cesarean sections

Description:

patient who had her second Cesarean sections

Treatment:

Procedure: cesarean section

previous 3 or more cesarean sections

Description:

patient who had 3 or more Cesarean sections

Treatment:

Procedure: cesarean section