Ultrasound Study of the Uterine Healing Process After Cesarean Delivery

Yale University30 enrolled

Overview

Our hypothesis is that there is no difference in the healing process in those women who have a one- or two-layer uterine closure at the time of cesarean delivery.

We are recruiting women who are presenting for their first (primary) cesarean delivery. They will be randomized to one- or two-layer myometrial closure at the time of their cesarean delivery. Ultrasound will be used to serially assess the myometrial thickness and myometrial remodeling process.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Myometrial Remodeling

Interventions

One- versus two-layer hysterotomy closurePROCEDURE

Eligibility

Sex: FEMALEMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * singleton gestation * term pregnancy * Kerr uterine incision employed * age \> 18 Exclusion Criteria: * Pain score \> 4 * Current cesarean delivery for non-reassuring fetal status or other emergent situation (eg. maternal bleeding, etc.) * Prior cesarean section * Prior uterine surgery * Hysterotomy other than Kerr (low transverse) incision in current cesarean * Extension of the uterine incision in current cesarean * Multifetal pregnancy * Maternal diabetes mellitus * Maternal connective tissue disorder * Uterine malformation * Uterine myomas (fibroids) in the anterior lower uterine segment * Chorioamnionitis * Non-English speaking

Locations (1)

Yale-New Haven Hospital

New Haven, Connecticut, United States

Outcomes

Primary Outcomes

myometrial thickness

Data from ClinicalTrials.gov

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