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To determine if a short interpregnancy interval following a prior cesarean delivery is associated with an increased risk of intraoperative maternal morbidity (e.g., hemorrhage, visceral injury, prolonged surgery) during the next cesarean delivery.
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| Measure | Description | Time Frame |
|---|---|---|
| Utrine rupture Bladder injury | 1year |
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Inclusion Criteria:
Pregnant women with history of one previous cesarean delivery Women admmitted for delivery by cesarean delivery during the study period Singleton pregnancy
Exclusion Criteria:
uterine malformation coagulation abnormalities, hypertension or diabetes before pregnancy, immune-related diseases, and chronic hepatic, renal orcardiac diseases Twin or multiple pregnancies Miscarriage before 28 weeks of gestation; Current placental previa or accrete and risk of PPH patients with medical morbid condition like diabetes, preeclampsia, hypertension, cardiac, renal diseases or patients having obstetrical conditions
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Maternal characteristics to be collected will include: Maternal age, Educational level, Marital status, Gestational diabetes mellitus, Pre-pregnancy hypertension , Gestational hypertension, body mass index at delivery (BMI, calculated as weight in kilograms divided by height in meters squared).
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hwayda Refaat Sayed, Lecturer | Contact | +20 | hwayda1997@gmail.com | |
| Diaa El- Din Mohamed Abdel -Aal, Professor | Contact | abdelaald@aun.edu.eg |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | 1. Wahid N, Ullah I, Bibi H, Ali S, Batool A, Islam L, et al. Obstetric Study to Exploring the Prevalence and Determinants of Cesarean Sections at Timeragra Teaching Hospital Dir Lower. Indus J Biosci Res. 2025;3(2):25- 9. 2. Mazhar T, Ambareen A, Jabeen S. Effects Of Short Inter-Delivery Interval On Mode Of Delivery In Previous One Caesarean Section Cases. Khyber Med Univ J. 2022;14(2):128-31. 3. Umeh UA, Eleje GU, Onuh JU, Nwankwo OT, Ezeome IV, Ajah LO, et al. Comparison of Placenta Previa and Placenta Accreta Spectrum Disorder Following Previous Cesarean Section between Women with a Short and Normal Interpregnancy Interval. Obstet Gynecol Int. 2022;2022(1):8028639. 4. Garg B, Darney B, Pilliod RA, Caughey AB. Long and short interpregnancy intervals increase severe maternal morbidity. Am J Obstet Gynecol. 2021;225(3):331-e1 |
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