Pregnancy Clinical Trial
Official title:
Evaluation of Single Versus Double-layer Technique by Closure of Cesarean Uterine Incision. A Randomized Controlled Study
The study compares short-term and long-term effects on myometrial thickness in women sutured by single- or double-layer technique by closure of cesarean uterine incision. The study is a randomized clinically controlled study.
Objective: To compare short-term and long-term effects on myometrial thickness in women
sutured by single- or double-layer technique by closure of cesarean uterine incision. The
study is a randomized clinically controlled study.
Design:Follow-up by ultra sound of a randomised controlled trial. Surgical technique was
blinded for the investigator.
Setting: An obstetric department in a tertiary referral hospital, 2008-2013. Participants:
Healthy nulliparous scheduled for elective caesarean section randomly assigned to closure of
the uterine incision by single- or double layer techniques.
Intervention: A modified version of the Misgav-Ladach surgical technique was used. The women
were examined by abdominal ultra sound before discharge from the maternity ward, and by
vaginal ultra sound and hysterosonography minimum five month post partum.
Main outcome measure: Thickness of the remaining myometrium corresponding to the former
cesarean uterine incision measured by ultra sound.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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