Cesarean Section
Conditions
Interventions
This is a two-arm, double-blind, randomized controlled clinical study. Experimental group: Cesarean section was performed on 40 pregnant women suturing the uterus with #1 barbed PDS thread in the uter
administration of prophylactic antibiotics for 24 h
and administration of oxytocin for a maximum of 24 h. Randomization into 6 blocks of 10 pregnant women at a 1:1 ratio due to the expected loss of exclusion of 15% of participants due to exclusion crit
Sponsors
Faculdade de Medicina - Universidade Federal de Mato Grosso do Sul
Hospital Universitário Maria Aparecida Pedrossian
Eligibility
Sex/Gender
Female
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Pregnancy. Age 18 years old and over. Without cesarean section
Exclusion criteria
Exclusion criteria: Uncontrolled gestational diabetes. Peripartum anemia. Chronic use of corticosteroids. Multiple pregnancy. Polyhydramnios. Domicile outside the city of Campo Grande. Mullerian anomalies. Placenta previa. Chronic inflammatory disease. Chorioamnionitis. Fever of any nature. Infection in the topography of the incision. Myoma at the hysterotomy site. Uterine incision in the body segment. More than 2 extra stitches for hemostasis. Endometritis. Uterine resuturing in the postpartum. Use of corticosteroids up to 30 days postpartum
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| It is expected to find the presence of uterine scar dehiscence in the immediate postpartum period (second postpartum day) through transvaginal ultrasound, compatible with the observation of 62% of uterine scar defects observed 6 months after the first cesarean section reported by other authors. The assessment of the primary outcome will be qualitative with the presence or absence of dehiscence. The precocity of this defect is hypothesized but has not been documented to date. | — |
Secondary
| Measure | Time frame |
|---|---|
| It is expected to find dehiscence with a greater width in the uterine scar with the #0 polyglactin thread in relation to the #1 PDS barbed thread in the proportion of 20.2% vs 32.6% as reported in the literature despite the difference in the suturing technique and interval of ultrasound analysis.;It is expected to find dehiscence with a greater width in the uterine scar with the #0 polyglactin thread in relation to the #1 PDS barbed thread in the proportion of 20.2% vs 32.6% as reported in the literature despite the difference in the suturing technique and interval of ultrasound analysis. | — |
Countries
Brazil
Contacts
Public ContactNewton Ishikawa
Programa de Pós Graduação Saúde e Desenvolvimento na Região Centro-Oeste
Outcome results
None listed