Formation of the Cesarean Scar Defect After the First Cesarean. A Prospective Observational Study of Planned Versus Emergency Cesarean Sections
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 250
- 试验地点
- 1
- 主要终点
- Cesarean Scar Defect (Niche)
研究概览
简要总结
This study is a prospective observational study which will monitor how cesarean section in the first pregnancy will develop a cesarean scar defect. Patients with planned cesarean section in their first pregnancy and those with an emergency cesarean section will be monitored for one year.
详细描述
Cesarean scar defects, which may develop after cesarean deliveries, are associated with menstrual bleeding problems, infertility, and poor obstetric outcomes. No matter how excellent and standard surgical technique is applied, scar defects may develop after cesarean section. However, when cesarean operation decision is taken, the existing operational conditions can affect the formation of cesarean scar defect in the future. Although the surgical technique is the same, a planned cesarean operation and an emergency cesarean section may differ for a future cesarean scar defect that may develop in the future.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •18-45-year-old patients
- •Patients who have undergone a planned or emergency cesarean section within the 38-42th gestational week.
排除标准
- •Spontaneous vaginal birth
- •Preterm birth
- •Pregnant women with an obstetrical or gynecological complication.
结局指标
主要结局
Cesarean Scar Defect (Niche)
时间窗: 10 minutes
The presence of a "niche" at the site of cesarean delivery scar diagnosed at the time of transvaginal ultrasonography
次要结局
- Postmenstrual spotting(7-10 days)
研究者
Adnan Orhan
Medical Doctor, Researcher, Obstetrician and Gynecologist
Uludag University