Maternal outcome of insitu epair versus exteriorization of uterine incision during cesarean section. A Randomised control trial

**Introduction:**Different techniques of uterine closure have been practiced in order to reduce morbidity during and after cesarean delivery. The techniques vary depending on both the clinical situation and the preferences of the operator, and mainly due to limited information available concerning the most appropriate surgical technique to adopt. Hence, this study aims to compare the difference between uterine exteriorization versus in situ repair during cesarean section affecting maternal outcome.

Methodology: A total of 272 women undergoing cesarean section will be randomized by computer-generated randomization, and a sequentially numbered, sealed opaque envelope method will be used for allocation in this single-blinded parallel-group randomized controlled trial. Group A (experimental group) will be the patients undergoing uterine exteriorization, and Group B (control group) will be the patients undergoing in-situ uterine repair.

Result: The intraoperative observation would note and compare changes in vitals (pulse, blood pressure), symptoms like pain, nausea, and vomiting, need for additional anaesthetic drugs, and assessment of blood loss between both groups. Also, the post-operative observation would note and compare the need for analgesics, return of bowel activity, surgical site infection, hospital stay, and hemoglobin on day 3 between both groups.

Conclusion: The present study will compare and conclude the effectiveness of uterine exteriorization and in-situ repair of uterine incision on maternal outcome during cesarean section. This will explore the outcome in terms of recovery, hospital stay, bowel activity, need for analgesics, surgical site infection, and level of hemoglobin.