Can the Length of the Pfannenstiel Skin Incision be Adjusted According to the Fetal Head During Elective/Planned Cesarean Delivery?
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 115
- 试验地点
- 1
- 主要终点
- Final Pfannenstiel incision length
研究概览
简要总结
The purpose of the study is whether the Pfannenstiel skin incision can be adjusted according to the occipitofrontal diameter (OFD) of the fetal head.
详细描述
Eligable nulliparous women delivered at term by elective cesarean section in which Pfannenstiel skin incision was performed according to the occipitofrontal diameter (OFD) of the fetal head were included. Non-vertex presentaions, all emergency cesarean sections, severe preclampsia, women in active phase of the first stage of labor and second stage of labor, placenta pervia and low lying placenta, multiple pregnancies, uncontrolled gestational diabetes mellitus were excluded.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •The women older than 18 years
- •term nulliparous pregnancies (>37w)
- •primary elective/planned Cesarean delivery
- •fetuses with vertex presentations
- •underwent spinal anesthesia
排除标准
- •all emergency cesarean sections ( fetal distress, third trimester bleeding including abruption of placenta and placenta previa bleeding, arrest of labor in the second phase)
- •cesarean delivery for severe preeclampsia
- •cesarean delivery for non-vertex fetal presentations (breech and shoulder presentation)
- •cesarean delivery for deflexion fetal head presentations (face and brow)
- •cesarean delivery during active phase of the first stage of labor
- •cesarean delivery for placenta previa or low-lying placenta,
- •cesarean delivery for multiple pregnancies
- •all cesarean deliveries with uncontrolled gestational or non-gestational diabetes mellitus
研究组 & 干预措施
tailored pfannenstiel incision according to the fetal head OFD
Pfannenstiel incision performed according to the occipitofrontal diameter of the fetal head
干预措施: Adjusting the Pfannenstiel skin incision according to the occipitofrontal diameter (OFD) of the fetal head. (Procedure)
结局指标
主要结局
Final Pfannenstiel incision length
时间窗: up to 48 months
Pfannenstiel skin incision length measured as milimetre (mm) which was performed according to the fetal occipitofrontal diameter measured with ultrasonography before delivery
difference between the initial and the Pfannenstiel incision length
时间窗: up to 48 months
difference between the initial incision which was adjusted according to the fetal occipitofrontal diameter and the final Pfannenstiel incision in millimetre(mm)
rate of extension of the Pfannensitel skin incision in the study population
时间窗: up to 48 months
percentage of patients who need of extension of the Pfannensitel skin incision in which the novel technique was performed
次要结局
- duration of cesarean delivery(up to 48 months)
- time interval between uterine incision and fetal delivery(up to 48 months)
- evaluation of the fetal acidosis by measuring the umbilical blood ph levels(up to 48 months)
- cut of the abdominal rectus muscle during delivery of the fetus(up to 48 months)
- health evaluation of the newborn with Apgar scoring system(up to 48 months)
研究者
Baris KAYA
Associate Professor
Near East University, Turkey