Comparison the Effect of Uterine Closure Technique Difference on Uterine Niche After Caesarean Delivery.

Comparison the Effect of Uterine Closure Technique Difference on Uterine Niche After Caesarean Delivery.

Caesarean section scar may have result as isthmocele or scar detachment during pregnancy which is in few years after previous delivery. Uterine niche is the most effectively used measurement side of uterus to estimate for these detachment complications. The aim of this study is to support this niche site by supporting the classical uterine closure technique.

Cesarean delivery rate continues to increase in world in concern with uterine scar complications as placental invasion abnormalities, isthmocele or previous scar detachment during pregnancy (post surgical long term complications). Uterine niche is the presence of a hypoechoic area within the myometrium on the lower uterine segment, showing a defect of the myometrium at the site of a previous cesarean delivery. Some surgical techniques have been trying to support this area to prevent the post surgical long term complications. In this study the investigators have been trying to find out a new technique by applying supporting sutures during uterine closure in cesarean section. Three months after the surgery, the uterine niche measurement will be examined with ultrasonography for both study and classical groups and results will be compared between the groups.

Inclusion Criteria:

• Primigravid elective caesarian delivery candidates
• The participants will have not any uterine contraction or cervical dilatation before delivery.
• Having no systemic or obstetric illnesses
• Participants who are accept to participate in this study with their written consent.

Exclusion Criteria:

• Previous caesarian delivery
• Having uterine contraction or cervical dilatation
• Smoking cigarettes
• Having systemic or obstetric illnesses