Cesarean Section; Dehiscence Clinical Trial
Official title:
Cesarean Scar Characteristics After Scheduled and Emergency Cesarean Deliveries: A Single Center Study
This study was designed to evaluate the scar characteristics following scheduled and emergency cesarean deliveries.
design and settings: This study is a descriptive, cross-sectional and multicenter study
conducted at Tanta and Benha Universities, Egypt in the period from August, 1, 2018 to
December, 31, 2018.
Patients:
Eligibility: Nine hundred patients were selected carefully according to inclusion and
exclusion criteria. The inclusion criteria were: (i) Primipara having prior cesarean delivery
whether scheduled or emergency (ii) Term delivery ≥ 37 weeks of gestation (iii) Multipara
having the last delivery by cesarean either scheduled or emergency (iv) The interval
following cesarean delivery to be 6 months at least and (v) Double-layer repair of uterus and
(vi) Cesarean by pfannensteil incisions. The exclusion criteria were: (i) Repeat cesarean
sections (ii) Preterm delivery (iii) Associated placental abnormalities (iv) Single-layer
repair of uterus and (v) Refusal to participate.
Allocations: This study is not a clinical trial so allocation is made based on
characteristics of patients and eligibility to be allocated in either scheduled cesarean
group or emergency cesarean group. The allocation was not equal based on the percentage of
patients in either group. The scheduled cesarean group included 580 cases while the emergency
cesarean group included 320 cases from both universities.
Intervention: Cesarean scar assessment included both uterine scar and cutaneous scar. The
uterine scar was assessed by transvaginal 3D ultrasound. The used device in both universities
was DC-30 device of Mindray Company. All ultrasound examinations were conducted by third
author in this study. Cutaneous scar was assessed by surgery department represented by the
fourth author in this study. The uterine scar in both groups was examined for distance from
internal os, length, thickness, volume, vasculature and presence of any defects. Cutaneous
scar was examined for distance from symphysis pubis, length, shape, any depressed areas, any
defects (hernia orifice), sinus and presence of keloid or hypertrophic scar.
;
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