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Comparing Decidual Inclusion vs. Exclusion in Uterine Suture Techniques During Cesarean Section to Improve Scar Thickness and Reduce Isthmocele Risk in Primiparous Women

RecruitingNAAges 18 Years - anyFemaleKantonsspital Baden
NCT07608874 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

This study compares two ways of closing the uterus during cesarean delivery. In one group, the decidual layer near the uterine cavity is included in the suture. In the other group, this layer is left out. The study will examine whether these two methods differ in how well the uterine scar heals 6 to 9 months after surgery. Women having an elective cesarean delivery will be randomly assigned to one of the two closure methods. Scar healing will be assessed by ultrasound after delivery. The goal is to determine whether one method is associated with better cesarean scar healing and fewer scar defects.

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📋 Eligibility rules (as published)
Inclusion Criteria: * Singleton, term pregnancy * Elective cesarean section before labor onset or membrane rupture * Maternal age \>18 years * Ability to provide informed consent Exclusion Criteria: * Placenta previa * Maternal substance abuse or infection * Suspected placenta accreta * Diabetes * one or more prior cesarean section * Vulnerable participants (e.g., mental health conditions) * Emergency cesarean sections
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What it tests

  • Single-Layered Non-Locked Closure with Decidual Inclusion
  • Single-Layered Non-Locked Closure with Decidual Sparing
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Where

1 site
Kantonsspital Baden
Baden, Switzerland
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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