Optimal Interval Between Consecutive Cesarean Sections: A Comparative Study on Maternal and Neonatal Outcomes
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 201
- 试验地点
- 2
- 主要终点
- Intraoperative complications
研究概览
简要总结
The goal of this observational study is to determine the best time interval between consecutive cesarean sections and compare maternal and neonatal outcomes in women with a history of previous cesarean sections. The main questions it aims to answer are:
- What is the optimal time interval between consecutive cesarean sections for minimizing maternal intraoperative complications, blood transfusions, and intra- and postoperative bleeding?
- What are the differences in fetal and neonatal outcomes based on different time intervals between cesarean sections?
Participants will be divided into five subgroups based on the time interval since their last cesarean section: 0-12 months, 12-24 months, 25-36 months, 37-48 months, and more than 48 months. Each participant will undergo an elective cesarean section and provide data on maternal and neonatal outcomes.
Researchers will compare these subgroups to see if varying time intervals between consecutive cesarean sections affect maternal and neonatal outcomes.
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
- 20 Years 至 42 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Age between 20-42 years.
- •Full-term pregnant women more than 37 weeks gestation.
- •Women with a history of at least one previous cesarean section, planning an elective repeated cesarean section.
排除标准
- •Women with contraindications to cesarean section
- •Those with emergency indications
- •Multiple pregnancies
- •Pre-existing maternal or fetal conditions affecting outcomes.
研究组 & 干预措施
Less than 18 months
This group consists of women who have had their previous cesarean section less than 12 months before the current scheduled elective cesarean section.
干预措施: Cesarean Delivery (Procedure)
18-24 months
This group includes women whose previous cesarean section was 12 to 24 months before their current scheduled elective cesarean section.
干预措施: Cesarean Delivery (Procedure)
25-36 months
This group is comprised of women who had their last cesarean section between 25 and 36 months prior to the current scheduled elective cesarean section.
干预措施: Cesarean Delivery (Procedure)
37-48 months
This group consists of women whose previous cesarean section occurred 37 to 48 months before the current scheduled elective cesarean section.
干预措施: Cesarean Delivery (Procedure)
More than 48 months
This group includes women who had their last cesarean section more than 48 months before their current scheduled elective cesarean section.
干预措施: Cesarean Delivery (Procedure)
结局指标
主要结局
Intraoperative complications
时间窗: Withen the surgery.
Occurrences of injuries to the bladder or bowel during surgery, injury of uterine artery, extension of uterine incision.
次要结局
- Fetal distress(during and 24 hours after the surgery.)
- Blood transfusions(withen the surgery and up to 24 hours after the sutgery.)
- Neonatal Apgar scores(5 minutes after birth.)
- NICU admissions(during and 24 hours after the surgery.)
- Intraoperative and postoperative bleeding (quantify blood loss(withen the surgery and up to 24 hours after the sutgery.)
- ICU admissions(1 week after the surgery.)
- Neonatal morbidity and mortality(during and 2 weeks after the surgery.)
研究者
Muhamed Ahmed Abdelmoaty Muhamed Alhagrasy
Lecturer of Obstetrics and Gynecology
Al-Azhar University