IRCT2017051533989N1 IRCT 2017-06-09 Zahedan University of Medical Sciences Expansion of the low transverse uterine incision at cesarean section Comparison of some outcomes of two techniques for expansion of the low transverse uterine incision at cesarean section 2011-04-03 anticipated 288 Complete https://irct.ir/trial/26111 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment. N/A Cesarean. Intervention 1: Case group: After making an incision of 2 cm on lower segment, uterine will be extended in vertical direction to uterine incision with the index fingers. Intervention 2: Control group: After making an incision of 2 cm on lower segment, uterine will be extended in lateral and upward direction with the index fingers.

public Mojgan Mokhtari

Aliebne Abitaleb Hospital, Hesabi Sq, Zahedan

Zahedan Iran (Islamic Republic of) 9816743111 +98 54 3329 5570 mmokhtari1345@hotmail.com Zahedan University of Medical Sciences scientific Mojgam Mokhtari

Aliebne Abitaleb Hospital, Dr Hesabi Sq, Zahedan

Zahedan Iran (Islamic Republic of) 9816743111 +98 54 3329 5570 mmokhtari1345@hotmail.com Zahedan University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria: All women with singleton pregnancy, gestational age between 37 to 42 weeks who are candidate for elective or emergency cesarean section and give informed constsnt for our research. Exclusion criteria: Unknown gestational age, preterm or postterm pregnancy, placenta previa, abruptio placenta, severe hemorrhage before cesarean section,BMI greater than 30, polyhydramnios, connective tissue disorders, estimated fetal weight greater than 4000 gr, uterine atony during or after cesarean section no limit no limit Female 082 Single delivery by caesarean section Treatment - Surgery Treatment - Surgery Case group: After making an incision of 2 cm on lower segment, uterine will be extended in vertical direction to uterine incision with the index fingers. Control group: After making an incision of 2 cm on lower segment, uterine will be extended in lateral and upward direction with the index fingers. Unwanted extension of uterine incision to cervix, vagina, upper segment of uterus with need to additional sutures. Timepoint: Just after intervention. Method of measurement: Yes or no with evaluator assessment. Need to additional sutures for control of bleeding of uterine incision after repair of that. Timepoint: Just after intervention. Method of measurement: yes or no with evaluator assessment. Need to blood transfusion. Timepoint: After intervention. Method of measurement: Yes or no with evaluator assessment. More than 10% Hb decrease after cesarean section. Timepoint: After intervention. Method of measurement: Yes or no with medical record assessment. Assessment of intraoperation blood loss. Timepoint: Just after intervention. Method of measurement: Assessment by evaluator / mili liter. Zahedan University of Medical Sciences Approved 2011-02-23 zahedan University of Medical Sciences Dr. Hessabi sq. khalije Fars Blv. Zahedan Iran (Islamic Republic of)