Ultrasound Study of the Uterine Healing Process After Cesarean Delivery
- Conditions
- Myometrial Remodeling
- Registration Number
- NCT00224250
- Lead Sponsor
- Yale University
- Brief Summary
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.
- Detailed Description
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.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 30
- singleton gestation
- term pregnancy
- Kerr uterine incision employed
- age > 18
- 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
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Primary Outcome Measures
Name Time Method myometrial thickness
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Yale-New Haven Hospital
🇺🇸New Haven, Connecticut, United States