Niche Caesarean scar defect.
Conditions
Interventions
The aim of the study is to evaluate the effect of all applied types of interventions including expectant management on niche related symptoms and reproductive outcomes in a prospective way with long t
Sponsors
Vu medical center
Eligibility
Inclusion criteria
Inclusion criteria: Women (>18 years) with the presence of a niche identified by TV sonography with a minimum depth of 2mm. Women may have or may not have symptoms (abnormal uterine blood loss, dysmenorrhea, chronic pelvic pain, subfertility) . Women may or may not have a desire to conceive.
Exclusion criteria
Exclusion criteria: Age < 18 years or not able to understand Dutch or not able to complete questionnaires.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The effect on of various therapies or non-therapy on the main symptom or time to pregnancy in case of no symptoms. | — |
Secondary
| Measure | Time frame |
|---|---|
| days of postmenstrual spotting, dysmenorrhoe (VAS), chronic pelvic pain (VAS), time to conceive, time to ongoing pregnancy, pregnancy outcomes, niche characteristics by ultrasound, patients satisfaction and quality of life (SF36), complications, surgical complications, additional interventions. | — |
Contacts
Public ContactJ.A.F. Huirne
VU Medical Center Department of Obstetrics and Gynaecology Postbus 7057
Outcome results
None listed