Disruption of Uterine Incision After Cesarean Section
Conditions
Keywords
unintended extension, blunt, sharp, maternal blood loss
Brief summary
The purpose of this study is to determine whether a specific surgical technique, blunt compared with sharp expansion of the transverse lower uterine incision, is associated with risk of unintended extension of uterine incision
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Term pregnancy(\> 38 weeks of gestation) 2. Required elective cesarean delivery 3. maternal age between 18-40 years
Exclusion criteria
1. Required emergency cesarean delivery 2. Abnormal presentation 3. Planned cesarean hysterectomy 4. History of low segment vertical uterine incision 5. History of classical upper segment uterine incision 6. multiple pregnancy 7. cases with a high risk for bleeding(HELLP send, preeclampsia, placental insertion anomalies) 8. Grand multiparity(parity\>5)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| unintended extension of uterine incision | during the operation |
Secondary
| Measure | Time frame |
|---|---|
| intraoperative maternal blood loss | after 48 hours than operation |
Countries
Turkey (Türkiye)