Predictors of Scar Dehiscence in Patients With Previous Caesarean Section; a Study of Different Variables Tenderness Versus Non-stress Test
试验速览
- 阶段
- 不适用
- 入组人数
- 180
- 试验地点
- 1
- 主要终点
- number of women with dehisensce scar and Non-stress test abnormalities
研究概览
简要总结
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
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 40 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Pregnant full-term 37-42 weeks.
- •Previous one caesarean section
排除标准
- •Absolute indication of cesarean section in previous and in current pregnancy
- •Pregnant women with Hemoglobin <9
- •Pregnant women with bleeding tendency
- •Pregnant women with collagen disease
- •Pregnant women with pre-eclampsia and eclampsia
- •Pregnant women with gestational diabetes
- •Multiple pregnancy
结局指标
主要结局
number of women with dehisensce scar and Non-stress test abnormalities
时间窗: 6 hours
次要结局
未报告次要终点
研究者
Ahmed Mohamed Abbas
principal investigator
Assiut University