We compares two techniques of uterine closure on myometrium thickness at the site of uterine scar of women who underwent repeated cesarean section. We will evaluate myometrial thickness by transvaginal ultrasound six months after cesarean.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
70
Uterine incision will be approximated with continuous unlocked suture avoiding the inclusion endometrium and without trimming incision edges.
Uterine incision will be trimmed and old scar tissue will be removed. Then first, endometrium will be approximated by continuous unlocked suture mimicking subcuticular suture avoiding the inclusion of endometrium and second, upper part of myometrium will be approximated by a continuous unlocked suture.
Atatürk Üniversitesi araştırma Hastanesi
Erzurum, Turkey (Türkiye)
RECRUITINGresidual myometrial thickness
Myometrial thickness at the uterine scar by transvaginal ultrasound
Time frame: 6 months after cesarean
residual myometrial thickness
Myometrial thickness at the uterine scar by transvaginal ultrasound
Time frame: 6 weeks after cesarean
Healing ratio
residual myometrial thickness \* 100 /total myometrial thickness above uterine scar
Time frame: 6 months after cesarean
Healing ratio
residual myometrial thickness \* 100 /total myometrial thickness above uterine scar
Time frame: 6 weeks after cesarean
Existence of cesarean scar defect
The presence or absence of a cesarean scar defect that was defined as any unechogenic area visualised by transvaginal ultrasound at the site of the cesarean scar with a depth of at least 1 mm.
Time frame: 6 months after cesarean
Existence of cesarean scar defect
The presence or absence of a cesarean scar defect that was defined as any unechogenic area visualised by transvaginal ultrasound at the site of the cesarean scar with a depth of at least 1 mm.
Time frame: 6 weeks after cesarean
Operation time
skin-to-skin operation time
Time frame: 10 minute after cesarean completed
Change in hemoglobin
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Difference in haemoglobin measured preoperatively and postoperatively 48 hours
Time frame: 48 hours after cesarean
Blood product transfusion
unite number of transfused packed erythrocyte
Time frame: One week after cesarean
Maternal infectious morbidity
prevalence of postpartum endometritis, skin wound dehiscence and post operative fever.
Time frame: six weeks after cesarean
Length of hospitalization
Duration in days
Time frame: One month after cesarean