Single-layer versus double-layer uterine closure after cesarean and myometrial thickness

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This interventional trial compares single-layer and double-layer uterine closure techniques in women undergoing cesarean delivery at Ankara Bilkent City Hospital. Eligible participants receive one of the two closure methods during their cesarean operation and are followed after surgery. Myometrial thickness and scar characteristics will be measured using postoperative ultrasound and clinical follow-up. The protocol excludes women with chronic systemic disease, placenta previa/accreta, anterior uterine fibroids, nonstandard uterine incisions, or predicted obstetric hemorrhage.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Female participants aged 18-44 years.
* Undergoing cesarean delivery at the study hospital's Obstetrics and Gynecology clinic.
* Evaluated as clinically eligible based on history, physical examination, abdominal ultrasonography, and routine preoperative laboratory tests, including:

Complete blood count (CBC), biochemical profile, prothrombin time (PT), activated partial thromboplastin time (aPTT), blood group determination. No abnormalities detected in the above assessments.

Exclusion Criteria:

\- Presence of chronic diseases, including: Rheumatologic diseases, renal failure, vascular malformations, hypertension, cardiac disease, diabetes mellitus, obesity, thyroid disease, congenital hematologic disorders.

* Suspected or confirmed placenta previa or placenta accreta spectrum.
* Clinical chorioamnionitis.
* Anterior wall uterine myomas.
* History of low transverse nonstandard uterine incision.
* Predicted obstetric hemorrhage or other intraoperative complications.

Where it's running

• Ankara Bilkent City Hospital
  Ankara, Not Valid, Turkey (Türkiye) Recruiting

Study contacts

• Principal investigator: Merve Didem Eşkin Tanrıverdi — Ankara City Hospital Bilkent
• Study coordinator: Merve Didem Eşkin Tanrıverdi, MD
• Email: mrvddm@hotmail.com
• Phone: +905354071467

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.