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Comparing Cesarean Scar Defect Incidence After Locked and Unlocked Repair Methods Among Primiparous Patients

Phase 3
Conditions
Cesarean scar defect.
Registration Number
IRCT20231028059887N1
Lead Sponsor
Tehran University of Medical Sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
Female
Target Recruitment
60
Inclusion Criteria

Primiparous term pregnant women in their third trimester
Eligible for primary cesarean section
Possessing a normal pre-pregnancy body mass index (BMI)
Lacking pre-pregnancy medical conditions
Free from major pregnancy complications like gestational hypertension, preeclampsia, eclampsia, and gestational diabetes mellitus
Not in the latent phase of labor
Presenting with a fetal head station of zero or higher (-3, -2, -1, and 0)
No history of prior lower uterine segment surgery

Exclusion Criteria

Extension of the cesarean section incision during the procedure
Pregnancy during the one-year follow-up period
Patient unwillingness
Patient non-cooperation

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Residual myometrial thickness. Timepoint: one year following the cesarean section. Method of measurement: ultrasonographic examination by an experienced obstetrics and gynecologist specialist.;Scar depth. Timepoint: one year following the cesarean section. Method of measurement: ultrasonographic examination by an experienced obstetrics and gynecologist specialist.;Scar width. Timepoint: one year following the cesarean section. Method of measurement: ultrasonographic examination by an experienced obstetrics and gynecologist specialist.;Presence/absence of cesarean scar defect (defined as scar depth larger than 2 millimeters). Timepoint: one year following the cesarean section. Method of measurement: ultrasonographic examination by an experienced obstetrics and gynecologist specialist.
Secondary Outcome Measures
NameTimeMethod
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