Tailored Pfannenstiel Incision for Caesarean Delivery According to the Fetal Head Occipitofrontal Diameter

Near East University, Turkey

Status: Completed

Conditions: Pfannenstiel Incision Length; Fetal Occipitofrontal Diameter; Cesarean Delivery Affecting Fetus; Incision, Surgical

Treatments: Procedure: Adjusting the Pfannenstiel skin incision according to the occipitofrontal diameter (OFD) of the fetal head.

Study type: Interventional

Funder types: Other

Identifiers

NCT05632796

Cesarean incision-1398

Details and patient eligibility

About

The purpose of the study is whether the Pfannenstiel skin incision can be adjusted according to the occipitofrontal diameter (OFD) of the fetal head.

Full description

Eligable nulliparous women delivered at term by elective cesarean section in which Pfannenstiel skin incision was performed according to the occipitofrontal diameter (OFD) of the fetal head were included. Non-vertex presentaions, all emergency cesarean sections, severe preclampsia, women in active phase of the first stage of labor and second stage of labor, placenta pervia and low lying placenta, multiple pregnancies, uncontrolled gestational diabetes mellitus were excluded.

Enrollment: 115 patients

Sex: Female

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• The women older than 18 years
• term nulliparous pregnancies (>37w)
• primary elective/planned Cesarean delivery
• fetuses with vertex presentations
• underwent spinal anesthesia

Exclusion criteria

• all emergency cesarean sections ( fetal distress, third trimester bleeding including abruption of placenta and placenta previa bleeding, arrest of labor in the second phase)
• cesarean delivery for severe preeclampsia
• cesarean delivery for non-vertex fetal presentations (breech and shoulder presentation)
• cesarean delivery for deflexion fetal head presentations (face and brow)
• cesarean delivery during active phase of the first stage of labor
• cesarean delivery for placenta previa or low-lying placenta,
• cesarean delivery for multiple pregnancies
• all cesarean deliveries with uncontrolled gestational or non-gestational diabetes mellitus

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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115 participants in 1 patient group

tailored pfannenstiel incision according to the fetal head OFD

Experimental group

Description:

Pfannenstiel incision performed according to the occipitofrontal diameter of the fetal head

Treatment:

Procedure: Adjusting the Pfannenstiel skin incision according to the occipitofrontal diameter (OFD) of the fetal head.