Optimal Interval Between Consecutive Cesarean Sections

Al-Azhar University

Status: Completed

Conditions: Cesarean Section Complications

Treatments: Procedure: Cesarean Delivery

Study type: Observational

Funder types: Other

Identifiers

NCT06491368

Obstet30624

Details and patient eligibility

About

The goal of this observational study is to determine the best time interval between consecutive cesarean sections and compare maternal and neonatal outcomes in women with a history of previous cesarean sections. The main questions it aims to answer are:

• What is the optimal time interval between consecutive cesarean sections for minimizing maternal intraoperative complications, blood transfusions, and intra- and postoperative bleeding?
• What are the differences in fetal and neonatal outcomes based on different time intervals between cesarean sections?

Participants will be divided into five subgroups based on the time interval since their last cesarean section: 0-12 months, 12-24 months, 25-36 months, 37-48 months, and more than 48 months. Each participant will undergo an elective cesarean section and provide data on maternal and neonatal outcomes.

Researchers will compare these subgroups to see if varying time intervals between consecutive cesarean sections affect maternal and neonatal outcomes.

Enrollment: 201 patients

Sex: Female

Ages: 20 to 42 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age between 20-42 years.
• Full-term pregnant women more than 37 weeks gestation.
• Women with a history of at least one previous cesarean section, planning an elective repeated cesarean section.

Exclusion criteria

• Women with contraindications to cesarean section
• Those with emergency indications
• Multiple pregnancies
• Pre-existing maternal or fetal conditions affecting outcomes.

Trial design

201 participants in 5 patient groups

Less than 18 months

Description:

This group consists of women who have had their previous cesarean section less than 12 months before the current scheduled elective cesarean section.

Treatment:

Procedure: Cesarean Delivery

18-24 months

Description:

This group includes women whose previous cesarean section was 12 to 24 months before their current scheduled elective cesarean section.

Treatment:

Procedure: Cesarean Delivery

25-36 months

Description:

This group is comprised of women who had their last cesarean section between 25 and 36 months prior to the current scheduled elective cesarean section.

Treatment:

Procedure: Cesarean Delivery

37-48 months

Description:

This group consists of women whose previous cesarean section occurred 37 to 48 months before the current scheduled elective cesarean section.

Treatment:

Procedure: Cesarean Delivery

More than 48 months

Description:

This group includes women who had their last cesarean section more than 48 months before their current scheduled elective cesarean section.

Treatment:

Procedure: Cesarean Delivery