Cesarean Section Complications, Cesarean Wound; Dehiscence, Cesarean Wound Disruption
Conditions
Keywords
Cesarean scar pregnancy, Isthmocele, Uterine niche, Cesarean scar defect
Brief summary
This study is a prospective observational study which will monitor how cesarean section in the first pregnancy will develop a cesarean scar defect. Patients with planned cesarean section in their first pregnancy and those with an emergency cesarean section will be monitored for one year.
Detailed description
Cesarean scar defects, which may develop after cesarean deliveries, are associated with menstrual bleeding problems, infertility, and poor obstetric outcomes. No matter how excellent and standard surgical technique is applied, scar defects may develop after cesarean section. However, when cesarean operation decision is taken, the existing operational conditions can affect the formation of cesarean scar defect in the future. Although the surgical technique is the same, a planned cesarean operation and an emergency cesarean section may differ for a future cesarean scar defect that may develop in the future.
Interventions
OTHERTransvaginal sonography at six months after cesarean section
In the sixth month after cesarean section, Women in both groups will undergo a detailed pelvic examination and transvaginal ultrasonographic evaluation for the cesarean scar defect.
OTHERTransvaginal sonography at twelve months after cesarean section
In the twelfth month after cesarean section, Women in both groups will undergo a detailed pelvic examination and transvaginal ultrasonographic evaluation for the cesarean scar defect.
Sponsors
Uludag University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
* 18-45-year-old patients * Patients who have undergone a planned or emergency cesarean section within the 38-42th gestational week.
Exclusion criteria
* Spontaneous vaginal birth * Preterm birth * Pregnant women with an obstetrical or gynecological complication.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cesarean Scar Defect (Niche) | 10 minutes | The presence of a niche at the site of cesarean delivery scar diagnosed at the time of transvaginal ultrasonography |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postmenstrual spotting | 7-10 days | Any vaginal bleeding that occurs after the usual menstrual period. |
Countries
Turkey (Türkiye)
Contacts
Primary ContactAdnan Orhan, M.D.
Backup ContactIsil Kasapoglu, M.D
Outcome results
None listed