Expansion of the low transverse uterine incision at cesarean section

Comparison of some outcomes of two techniques for expansion of the low transverse uterine incision at cesarean section

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

IRCT

Registry ID

IRCT2017051533989N1

Enrollment

288

Registered

2017-06-09

Start date

2011-04-03

Completion date

Unknown

Last updated

2018-02-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cesarean. Single delivery by caesarean section

Interventions

Intervention 1: Case group: After making an incision of 2 cm on lower segment, uterine will be extended in vertical direction to uterine incision with the index fingers. Intervention 2: Control gro

Treatment - Surgery

Case group: After making an incision of 2 cm on lower segment, uterine will be extended in vertical direction to uterine incision with the index fingers.

Control group: After making an incision of 2 cm on lower segment, uterine will be extended in lateral and upward direction with the index fingers.

Eligibility

Sex/Gender

Female

Inclusion criteria

Inclusion criteria: Inclusion criteria: All women with singleton pregnancy, gestational age between 37 to 42 weeks who are candidate for elective or emergency cesarean section and give informed constsnt for our research. Exclusion criteria: Unknown gestational age, preterm or postterm pregnancy, placenta previa, abruptio placenta, severe hemorrhage before cesarean section,BMI greater than 30, polyhydramnios, connective tissue disorders, estimated fetal weight greater than 4000 gr, uterine atony during or after cesarean section

Exclusion criteria

Exclusion criteria:

Design outcomes

Primary

Measure	Time frame
Unwanted extension of uterine incision to cervix, vagina, upper segment of uterus with need to additional sutures. Timepoint: Just after intervention. Method of measurement: Yes or no with evaluator assessment.;Need to additional sutures for control of bleeding of uterine incision after repair of that. Timepoint: Just after intervention. Method of measurement: yes or no with evaluator assessment.;Need to blood transfusion. Timepoint: After intervention. Method of measurement: Yes or no with evaluator assessment.;More than 10% Hb decrease after cesarean section. Timepoint: After intervention. Method of measurement: Yes or no with medical record assessment.;Assessment of intraoperation blood loss. Timepoint: Just after intervention. Method of measurement: Assessment by evaluator / mili liter.	—

Measure

Time frame

Unwanted extension of uterine incision to cervix, vagina, upper segment of uterus with need to additional sutures. Timepoint: Just after intervention. Method of measurement: Yes or no with evaluator assessment.;Need to additional sutures for control of bleeding of uterine incision after repair of that. Timepoint: Just after intervention. Method of measurement: yes or no with evaluator assessment.;Need to blood transfusion. Timepoint: After intervention. Method of measurement: Yes or no with evaluator assessment.;More than 10% Hb decrease after cesarean section. Timepoint: After intervention. Method of measurement: Yes or no with medical record assessment.;Assessment of intraoperation blood loss. Timepoint: Just after intervention. Method of measurement: Assessment by evaluator / mili liter.

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Countries

Iran (Islamic Republic of)

Contacts

Public ContactMojgan Mokhtari

Zahedan University of Medical Sciences

mmokhtari1345@hotmail.com+98 54 3329 5570

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026