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Effect of single versus double layer uterine closure during caesarean section on niche formation and menstrual irregularity

Not Applicable
Conditions
Pregnancy and Childbirth
Registration Number
PACTR202312583411798
Lead Sponsor
Ahmed Mohamed
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
Female
Target Recruitment
297
Inclusion Criteria

1) Primigravida women undergoing elective cesarean section,
2) Singleton term pregnancies after 37 gestational weeks,
3) Age: 18 – 40 years,
4) Non lactating and non-hormonal contraception.

Exclusion Criteria

a) Previous uterine surgery (myomectomy or metroplasty),
b) Women with known causes of menstrual disorders (abnormal Uterine Bleeding in the form of premenstrual or postmenstrual spotting, dysmenorrhea, and amenorrhea),
c) Placenta accreta spectrum during the current pregnancy,
d) Cases associated with poor wound healing as steroid administration or patients with antenatal anemia,
e) Medical conditions as diabetes mellitus,
f) Risk of endometritis and puerperal sepsis
g) Postpartum hemorrhage.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Post-menstrual spotting over 3 successive spontaneous menstrual cycles.
Secondary Outcome Measures
NameTimeMethod
ltrasound findings suggestive of niche formation;Dysmennorhea, dyspareunia, and premenstrual spotting.
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