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The aim of this study is to evaluate the efficacy of intramuscular autologus platelet rich plasma on uterine wound healing after primary cesarean section
110 pregnant female undergoing primary prelabor CS will be randomized to two groups group A)autologus PRP will be prepared from participant venous blood collected from the participants' arm into a syringe primed with ACD-A. then it will be injected into uterus after closing uterine incision . Injection sites will be selected near the incision at evenly 20 different sites
group B)normal saline 0.9 will be injected into uterus after closing uterine incision . Injection sites will be selected near the incision at evenly 20 different sites.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PRP | Experimental | 55 participant unergoing prelabor primary CS will receive intramyometrial injection of PRP after closure of uterine incision |
|
| placebo | Placebo Comparator | 55 participant unergoing prelabor primary CS will receive intramyometrial injection of normal saline after closure of uterine incision |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| autologus platelet rich plasma | Drug | 55 participant unergoing prelabor primary CS will receive intramyometrial injection of PRP after closure of uterine incision |
|
| Measure | Description | Time Frame |
|---|---|---|
| Presence of cesarean scar defect(niche) | any defect in the anterior myometrium related to scar site | 12 weeks after CS |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ain Shams university maternity hospital | Cairo | Egypt |
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| placebo | Drug | 55 participant unergoing prelabor primary CS will receive intramyometrial injection of normal saline after closure of uterine incision |
|