Cesarean scar defects
Conditions
Interventions
Group 1:full thickness myometrial
Group 2:split thickness myometrial
Sponsors
International Peace Maternity and Child Health Hospital
Eligibility
Sex/Gender
Female
Age
20 Years to 40 Years
Inclusion criteria
Inclusion criteria: Women who meet all the following conditions will be recruited in our study: 1. The first elective delivery by lower segment caesarean section through a transverse abdominal incision; 2. Gestational week =36 weeks; 3. Aged 20 to 40 years; 4. Singleton fetus; 5. Platelet count>100×10^9/L; Hemoglobin concentration>90g/L; 6. If a patients with ovarian cyst, diameter of the mass is < 5cm; 7. No infectious diseases or mental disorders.
Exclusion criteria
Exclusion criteria: Women who meet any of the following conditions will be excluded from our study: 1. Prenatal and intrapartum fever. 2. if there is clear indication for a particular surgical technique or material to be used, that interferes with any of the allocated interventions, e.g. in a previous vertical incision. 3. Women who have previously been diagnosed with a uterine abnormality such as a malformed uterus (uterus unicornis, septate uterus, duplex uterus or uterus bicomis), adenomyosis, hysteromyoma, or scarred uterus; 4. Women who have antepartum hemorrhage such as placenta previa and placental abruption; 5. Women who have malignancy or other severe systemic disease.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The rate of cesarean scar defect diagnosed by transvaginal B ultrasound within one year after the cesarean section; | — |
Secondary
| Measure | Time frame |
|---|---|
| (1) Intraoperative blood loss; (2) Postoperative hospital stay; (3) Postoperative complications; (4) Rate of rehospitalization within six weeks after the surgery; (5) Operative time (from the start to the end of closure of uterine incision) (6) The rate of chronic pelvic pain; | — |
Countries
China
Contacts
Public ContactJian Zhang
Department of Obstetrics and Gynecology, International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiaotong University
Outcome results
None listed