Predictors of Scar Dehiscence in Patients With Previous Caesarean Section

Predictors of Scar Dehiscence in Patients With Previous Caesarean Section; a Study of Different Variables Tenderness Versus Non-stress Test

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

Study Overview

• Status: Unknown
• Conditions: Cesarean Section; Dehiscence
• Intervention / Treatment: Device: non-stress test

• Study Type: Observational
• Enrollment (Anticipated): 180

Contacts and Locations

Study Locations

• Egypt
  • Assiut, Egypt
    • Recruiting
    • Assiut Faculty of Medicine
    • Contact: Ahmed Abbas, MD; Phone Number: 01003385183; Email: bmr90@hotmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 40 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: Female

• 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

Description

Inclusion Criteria:

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

Exclusion Criteria:

1. Absolute indication of cesarean section in previous and in current pregnancy
2. Pregnant women with Hemoglobin <9
3. Pregnant women with bleeding tendency
4. Pregnant women with collagen disease
5. Pregnant women with pre-eclampsia and eclampsia
6. Pregnant women with gestational diabetes
7. Multiple pregnancy

Study Plan

How is the study designed?

Design Details

• Observational Models: Other
• Time Perspectives: Prospective

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
number of women with dehisensce scar and Non-stress test abnormalities	6 hours

Collaborators and Investigators

• Sponsor: Assiut University

Study record dates

Study Major Dates

• Study Start (Actual): June 1, 2017
• Primary Completion (Anticipated): September 1, 2018
• Study Completion (Anticipated): November 1, 2018

Study Registration Dates

• First Submitted: May 3, 2017
• First Submitted That Met QC Criteria: May 3, 2017
• First Posted (Actual): May 4, 2017

Study Record Updates

• Last Update Posted (Actual): June 27, 2018
• Last Update Submitted That Met QC Criteria: June 26, 2018
• Last Verified: June 1, 2018

More Information

Terms related to this study

• Other Study ID Numbers: SDCS

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No