Predictors of Scar Dehiscence in Patients With Previous Caesarean Section

• Conditions: Cesarean Section; Dehiscence

• Registration Number: NCT03140683
• Lead Sponsor: Assiut University

Brief Summary

In recent decades, the percentage of Cesarean section deliveries has dramatically increased in most countries. Concomitantly, the rates of vaginal birth after Cesarean have decreased steadily.

The pregnant women with previous Cesarean section face a difficult choice for their next delivery between a trial of labor after Cesarean or repeat caesarean section delivery.

The performance of multiple Cesarean section exposes women to greater risks of complications; furthermore, the risk of complications increases with each subsequent Cesarean section.

In fact, women with previous Cesarean section are more likely to experience short and long-term maternal complications in future pregnancies, or a trial of labor after Cesarean, with the risk of \[uterine dehiscence, uterine rupture, genitourinary tract damage, hemorrhage and hysterectomy, abnormal placentation (placenta previa and placenta accreta) and difficulties during surgery

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2017-05-03
• Study First Submitted QC: 2017-05-03
• Study First Posted: 2017-05-04
• Study Start: 2017-06-01
• Status Verified: 2018-06
• Last Update Submitted: 2018-06-26
• Last Update Posted: 2018-06-27
• Primary Completion: 2018-09
• Study Completion: 2018-11

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: Female
• Target Recruitment: 180

Inclusion Criteria

1. Pregnant full-term 37-42 weeks.
2. Previous one caesarean section

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Exclusion Criteria

1. Absolute indication of cesarean section in previous and in current pregnancy
2. Pregnant women with Hemoglobin <9
3. Pregnant women with bleeding tendency
4. Pregnant women with collagen disease
5. Pregnant women with pre-eclampsia and eclampsia
6. Pregnant women with gestational diabetes
7. Multiple pregnancy

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
number of women with dehisensce scar and Non-stress test abnormalities	6 hours

Trial Locations

Locations (1)

Assiut Faculty of Medicine; 🇪🇬 Assiut, Egypt