Randomized Comparison of Sharp Versus Blunt Techniques at Cesarean

Istanbul Bakirkoy Maternity and Children Diseases Hospital

Status: Completed

Conditions: Disruption of Uterine Incision After Cesarean Section

Study type: Observational

Funder types: Other

Identifiers

NCT01519440

Aşıcıoğlu-01

Details and patient eligibility

About

The purpose of this study is to determine whether a specific surgical technique, blunt compared with sharp expansion of the transverse lower uterine incision, is associated with risk of unintended extension of uterine incision

Enrollment: 1,076 patients

Sex: Female

Ages: 18 to 40 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Term pregnancy(> 38 weeks of gestation)
2. Required elective cesarean delivery
3. maternal age between 18-40 years

Exclusion criteria

1. Required emergency cesarean delivery
2. Abnormal presentation
3. Planned cesarean hysterectomy
4. History of low segment vertical uterine incision
5. History of classical upper segment uterine incision
6. multiple pregnancy
7. cases with a high risk for bleeding(HELLP send, preeclampsia, placental insertion anomalies)
8. Grand multiparity(parity>5)

Trial design

1,076 participants in 2 patient groups

blunt

Description:

Blunt expansion of the primary incision was derived by placing the index fingers of the operating surgeon into the incision and pulling the fingers apart laterally and cephalad.

sharp

Description:

Sharp expansion of the primary incision was developed by cutting laterally and cephalad using bandage scissors