Actively Recruiting
High vs. Low Segmental Hysterotomy: Impact on Uterine Wall Defects Post-Cesarean
Led by Fundacion Clinica Valle del Lili · Updated on 2026-05-07
168
Participants Needed
1
Research Sites
115 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
The purpose of this clinical trial is to compare the incidence of defects in the uterine wall at the site of the scar (niche) and surgical complications when using high-segment versus low-segment hysterotomy, with both cross-suturing and non-cross-suturing techniques, in pregnant patients undergoing their first cesarean section. Researchers will compare four arms: * Low Segment Hysterotomy + Crossed hysterorrhaphy * High Segment Hysterotomy + Crossed hysterorrhaphy * Low Segment Hysterotomy + Non-Crossed hysterorrhaphy * High Segment Hysterotomy + Non-Crossed hysterorrhaphy Participants will: * Cesarean delivery * Attend a follow up appointment between 6 to 16 weeks post surgery where will be perform a transvaginal sonography.
CONDITIONS
Official Title
High vs. Low Segmental Hysterotomy: Impact on Uterine Wall Defects Post-Cesarean
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Pregnant women aged 18 years or older
- Confirmed pregnancy between 36 and 42 weeks of gestation by clinical history or ultrasound
- Indication for first cesarean section by attending gynecologist, either emergent or elective
You will not qualify if you...
- History of uterine muscle surgery such as myomectomy
- History of genetic or acquired conditions altering uterine anatomy
- History of blood clotting disorders
- History of connective tissue disorders like Lupus or Scleroderma affecting healing
- Hemodynamically unstable before cesarean section
- Declined to sign informed consent
AI-Screening
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Trial Site Locations
Total: 1 location
1
Fundación Valle del Lili
Cali, Valle del Cauca Department, Colombia, 760032
Actively Recruiting
Research Team
A
Albaro J. Nieto, M.D.
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
TRIPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
4
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