Lower Uterine Segment Following a Cesarean Section With Barbed Suture (BARB-LOWSEGM)

Piazza della Vittoria 14 Studio Medico - Ginecologia e Ostetricia

Status: Completed

Conditions: Cesarean Section Complications; Cesarean Wound; Dehiscence

Treatments: Procedure: Transvaginal ultrasound in the third trimester pregnancy

Study type: Observational

Funder types: Other

Identifiers

NCT05166174

BARB-LOWSEGM

Details and patient eligibility

About

This aim of this study is to investigate the LUS in the pregnancy following a previous cesarean section with the use of barbed or conventional smooth suture.

Full description

To better assess the risk of uterine rupture, some authors have proposed sonographic measurement of lower uterine segment (LUS) thickness near term, assuming that there is an inverse correlation between LUS thickness and the risk of uterine scar defect. Recently, barbed suture has been employed for closing uterine wall after cesarean section, demonstrating the reduction of closure time of the uterine incision and estimated blood loss. Until now, the impact of barbed suture in future pregnancies has not been investigated.

Enrollment: 93 patients

Sex: Female

Ages: 18 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• pregnant women
• being undergone a previous elective cesarean section at term of pregnancy (more than 37 weeks of gestation), in which barbed or conventional smooth suture was used for closing anterior uterine wall

Exclusion criteria

• having done more than one cesarean section
• having done a previous urgent cesarean section
• having done previous uterine surgical procedures with exception than one cesarean section

Trial design

93 participants in 2 patient groups

Pregnant women who underwent previous cesarean section with barbed suture

Description:

This group includes pregnant women, who underwent a previous cesarean section. During the previous surgical procedure, the hysterotomy was closed by using barbed suture ("Fish-bone suture").

Treatment:

Procedure: Transvaginal ultrasound in the third trimester pregnancy

Pregnant women who underwent previous cesarean section with conventional smooth suture

Description:

This group includes pregnant women, who underwent a previous cesarean section. During the previous surgical procedure, the hysterotomy was closed conventional smooth suture.

Treatment:

Procedure: Transvaginal ultrasound in the third trimester pregnancy