Predictors of Scar Dehiscence in Patients With Previous Caesarean Section

NCT03140683 | Unknown

• 1 other identifier: SDCS
• Study Type: observational
• Target: 180
• Locations: 1 country
• Sites: 1

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

Conditions

Cesarean Section; Dehiscence

Outcome Measures

Primary Outcomes (1)

• number of women with dehisensce scar and Non-stress test abnormalities

  6 hours

Interventions

non-stress test DEVICE

antepartum fetal monitoring

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

Study sample will be collected from Women's Health Hospital of Assiut University and Assuit Health Insurance Hospital

You may qualify if:

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

You may not qualify if:

• 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

Sponsors & Collaborators

• Assiut University: lead

Study Sites (1)

Assiut Faculty of Medicine

Asyut, Egypt

RECRUITING

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principal investigator

Study Record Dates

• First Submitted: May 3, 2017
• First Posted: May 4, 2017
• Study Start: June 1, 2017
• Primary Completion: September 1, 2018
• Study Completion: November 1, 2018
• Last Updated: June 27, 2018

Record last verified: 2018-06

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)