Cesarean Section; Dehiscence
Conditions
Brief summary
In recent decades, the percentage of Cesarean section deliveries has dramatically increased in most countries. Concomitantly, the rates of vaginal birth after Cesarean have decreased steadily. The pregnant women with previous Cesarean section face a difficult choice for their next delivery between a trial of labor after Cesarean or repeat caesarean section delivery. The performance of multiple Cesarean section exposes women to greater risks of complications; furthermore, the risk of complications increases with each subsequent Cesarean section. In fact, women with previous Cesarean section are more likely to experience short and long-term maternal complications in future pregnancies, or a trial of labor after Cesarean, with the risk of \[uterine dehiscence, uterine rupture, genitourinary tract damage, hemorrhage and hysterectomy, abnormal placentation (placenta previa and placenta accreta) and difficulties during surgery
Interventions
DEVICEnon-stress test
antepartum fetal monitoring
Sponsors
Assiut University
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
1. Pregnant full-term 37-42 weeks. 2. Previous one caesarean section
Exclusion criteria
1. Absolute indication of cesarean section in previous and in current pregnancy 2. Pregnant women with Hemoglobin \<9 3. Pregnant women with bleeding tendency 4. Pregnant women with collagen disease 5. Pregnant women with pre-eclampsia and eclampsia 6. Pregnant women with gestational diabetes 7. Multiple pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| number of women with dehisensce scar and Non-stress test abnormalities | 6 hours |
Countries
Egypt
Outcome results
None listed