Participants scheduled for cesarean section Cesarean Section
Conditions
Interventions
Participants will be randomly assigned to either the Low-incision group (L group) or the High-incision group (H group). After exposing the vesicouterine peritoneal reflection during cesarean delivery,
D002585
Cesarean Section
Sponsors
Katsura Daisuke
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Age 18 years or older at the time of enrollment Scheduled to undergo cesarean delivery
Exclusion criteria
Exclusion criteria: Women with multiple pregnancies History of two or more previous cesarean deliveries Presence of uterine malformations Any other condition deemed inappropriate for participation by the attending physician
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Residual Myometrial Thickness (RMT) | — |
Secondary
| Measure | Time frame |
|---|---|
| The depth and length of the cesarean scar defect (CSD), the rate of severe CSD formation (defined as a healing ratio RMT/AMT < 0.5), intraoperative findings (operative time, blood loss, and the thickness of the uterine wall on the corporal and cervical sides of the hysterotomy), and maternal background characteristics (maternal age at delivery, parity, gravidity, history of previous cesarean delivery, height, maternal weight at delivery, BMI, elective versus emergency cesarean section, gestational age at cesarean delivery, cervical dilatation at the time of surgery, neonatal birthweight, and presence or absence of menstruation at 6-8 months postpartum). | — |
Contacts
Public ContactDaisuke Katsura
Shiga University of Medical Science Hospital
Outcome results
None listed