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The purpose of the study is whether the Pfannenstiel skin incision can be adjusted according to the occipitofrontal diameter (OFD) of the fetal head.
Eligable nulliparous women delivered at term by elective cesarean section in which Pfannenstiel skin incision was performed according to the occipitofrontal diameter (OFD) of the fetal head were included. Non-vertex presentaions, all emergency cesarean sections, severe preclampsia, women in active phase of the first stage of labor and second stage of labor, placenta pervia and low lying placenta, multiple pregnancies, uncontrolled gestational diabetes mellitus were excluded.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| tailored pfannenstiel incision according to the fetal head OFD | Experimental | Pfannenstiel incision performed according to the occipitofrontal diameter of the fetal head |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Adjusting the Pfannenstiel skin incision according to the occipitofrontal diameter (OFD) of the fetal head. | Procedure | All women will be subjected to regional spinal anesthesia. Pfannenstiel incision will be made according to the fetal occiputofrontal diameter, marked on the skin (Pfannenstiel incison with Kaya modification) Following blunt entry to the abdominal cavity, the uterine lower segment Kerr incision will be performed. Folllowing delivery of the baby, umblical cord will be cut and an arterial umblical cord blood sample will be taken. Placenta will be removed. 1st and 5th min. Apgar scores will be noted. Uterine incison will be sutured double-layer with 1 polyglactin 910 suture . Peritoneum and fascia, will be closed with 2-0 and 1 polyglactin 910 suture respectively. Skin incision will be sutured with continuous 3-0 rapid polyglactin 910 suture and measured with flexible ruler in centimeters following completing the skin incision closure. |
| Measure | Description | Time Frame |
|---|---|---|
| Final Pfannenstiel incision length | Pfannenstiel skin incision length measured as milimetre (mm) which was performed according to the fetal occipitofrontal diameter measured with ultrasonography before delivery | up to 48 months |
| difference between the initial and the Pfannenstiel incision length | difference between the initial incision which was adjusted according to the fetal occipitofrontal diameter and the final Pfannenstiel incision in millimetre(mm) | up to 48 months |
| rate of extension of the Pfannensitel skin incision in the study population | percentage of patients who need of extension of the Pfannensitel skin incision in which the novel technique was performed | up to 48 months |
| Measure | Description | Time Frame |
|---|---|---|
| duration of cesarean delivery | duration of surgery starts with from the skin incision ends with closing the skin measured with minute | up to 48 months |
| time interval between uterine incision and fetal delivery |
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Inclusion Criteria:
Exclusion Criteria:
pregnant women
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| Name | Affiliation | Role |
|---|---|---|
| baris kaya, Assos.Prof | Near East University Faculty of Medicine, Lefkosa-10 TRNC, Mersin, Turkey | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Near East University, Obstetrics and Gynecology | Mersin | TRNC | 10 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37829600 | Derived | Kaya B, Ozay OE, Ozay AC, Tuten A. Can the Pfannenstiel skin incision length be adjusted according to the fetal head during elective cesarean delivery? Front Surg. 2023 Sep 26;10:1227338. doi: 10.3389/fsurg.2023.1227338. eCollection 2023. |
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we may share our data upon request
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|
time interval between starting the Kerr uterine incision and delivery of the fetus measured with seconds
| up to 48 months |
| cut of the abdominal rectus muscle during delivery of the fetus | number of participants who need cut of the abdominal rectus muscle during delivery of the fetus | up to 48 months |
| health evaluation of the newborn with Apgar scoring system | evaluation of the of the health of the newborn with 1. min and 5. min Apgar scoring system (1-10) | up to 48 months |
| evaluation of the fetal acidosis by measuring the umbilical blood ph levels | evaluation of fetal acidosis with umbilical ph values (7.15-7.49), < 7.1 is accepted as fetal acidosis | up to 48 months |
| ID | Term |
|---|---|
| D000072836 | Surgical Wound |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
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