Ultrasound Study of the Uterine Healing Process After Cesarean Delivery

Yale University

Status

Completed

Conditions

Myometrial Remodeling

Treatments

Procedure: One- versus two-layer hysterotomy closure

Study type

Interventional

Funder types

Other

Identifiers

NCT00224250

27269

Details and patient eligibility

About

Our hypothesis is that there is no difference in the healing process in those women who have a one- or two-layer uterine closure at the time of cesarean delivery.

Full description

We are recruiting women who are presenting for their first (primary) cesarean delivery. They will be randomized to one- or two-layer myometrial closure at the time of their cesarean delivery. Ultrasound will be used to serially assess the myometrial thickness and myometrial remodeling process.

Sex

Female

Ages

18+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

singleton gestation
term pregnancy
Kerr uterine incision employed
age > 18

Exclusion criteria

Pain score > 4
Current cesarean delivery for non-reassuring fetal status or other emergent situation (eg. maternal bleeding, etc.)
Prior cesarean section
Prior uterine surgery
Hysterotomy other than Kerr (low transverse) incision in current cesarean
Extension of the uterine incision in current cesarean
Multifetal pregnancy
Maternal diabetes mellitus
Maternal connective tissue disorder
Uterine malformation
Uterine myomas (fibroids) in the anterior lower uterine segment
Chorioamnionitis
Non-English speaking