Caesarean section or laparotomy for uterus rupture Pregnancy and Childbirth
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Pregnant women who undergo a caesarean section (including laparotomy for uterine rupture) 2. The foetus is over 500 grams 3. The procedure is performed by a Medical Doctor or a Non-Physician Clinician
Exclusion criteria
Exclusion criteria: 1. Caesarean section performed by a student (for example medical student) as first surgeon 2. Patients who have undergone laparotomy for uterine rupture where the foetus is already delivered vaginally
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Maternal and neonatal survival, measured by research nurse before discharge and at 30-day follow-up visit | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Infection, including wound infection, treated with antibiotics before discharge 2. Reoperation for wound dehiscence before discharge 3. New pregnancy within the first year 4. Development of vesicovaginal fistula (VVF) within the first year 5. Uterus rupture within 5 years after caesarean section All outcomes measured by research nurse at discharge and follow-up visits | — |
Countries
Sierra Leone