Impact of Uterine Closure Techniques on the Cesarean Scar Thickness After Repeated Cesarean Section

Impact of Single Layer Versus Double Layer Uterine Closure on the Cesarean Scar Healing

We compares two techniques of uterine closure on myometrium thickness at the site of uterine scar of women who underwent repeated cesarean section. We will evaluate myometrial thickness by transvaginal ultrasound six months after cesarean.

Inclusion Criteria:

• previous two or three cesarean
• gestational weeks >=36 weeks

Exclusion Criteria:

• risk of obstetric haemorrhage
• suspicion or diagnosis placenta previa or accrete syndrome
• chorioamnionitis
• uterine myoma in the anterior uterine segment
• hysterotomy other than lower segment uterine incision at previous cesarean