Closure; Incomplete, Uterus, Uterine Niche
Conditions
Keywords
niche, caesarean section, technique, uterine closure
Brief summary
Caesarean section scar may have result as isthmocele or scar detachment during pregnancy which is in few years after previous delivery. Uterine niche is the most effectively used measurement side of uterus to estimate for these detachment complications. The aim of this study is to support this niche site by supporting the classical uterine closure technique.
Detailed description
Cesarean delivery rate continues to increase in world in concern with uterine scar complications as placental invasion abnormalities, isthmocele or previous scar detachment during pregnancy (post surgical long term complications). Uterine niche is the presence of a hypoechoic area within the myometrium on the lower uterine segment, showing a defect of the myometrium at the site of a previous cesarean delivery. Some surgical techniques have been trying to support this area to prevent the post surgical long term complications. In this study the investigators have been trying to find out a new technique by applying supporting sutures during uterine closure in cesarean section. Three months after the surgery, the uterine niche measurement will be examined with ultrasonography for both study and classical groups and results will be compared between the groups.
Interventions
OTHERSuture technique
We wil apply additional sutures to classical caesarean procedure.
Sponsors
Kanuni Sultan Suleyman Training and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
TRIPLE (Subject, Caregiver, Investigator)
Masking description
One study control person is organizing the whole trial and provides blinding to both sides (participants and care provider).
Intervention model description
Double Blinded Randomised Controlled Trial
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* Primigravid elective caesarian delivery candidates * The participants will have not any uterine contraction or cervical dilatation before delivery. * Having no systemic or obstetric illnesses * Participants who are accept to participate in this study with their written consent.
Exclusion criteria
* Previous caesarian delivery * Having uterine contraction or cervical dilatation * Smoking cigarettes * Having systemic or obstetric illnesses
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants for each group for study | Up to 9 months | We will try to reach fifty participants for each group (study group as classical cesarean with supporting suture and control group as classical cesarean) . When we reach to all participants we will stop to enroll the participants. |
Countries
Turkey (Türkiye)
Contacts
Primary ContactErgul Demircivi Bor
Outcome results
None listed