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Gentler C-Section technique could reduce injuries in repeat births

NCT ID NCT04968340

Symptom relief Sponsor: Assiut University Source: ClinicalTrials.gov ↗

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Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed This study
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
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Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

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Status unknown
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First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This completed trial tested a new 'external pop out' technique for delivering the baby's head during repeat C-sections, compared to the conventional method. In 600 women with a previous C-section, the new approach avoids putting the surgeon's hand inside the uterus, potentially reducing uterine tears, blood loss, and surgery time. The study focused on safety and feasibility, measuring outcomes like uterine injury and operative time.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
external pop out technique (a surgical procedure)
What this could lead to
If successful, this technique could reduce uterine injury, blood loss, and surgery time during repeat C-sections, making the procedure safer for mothers.
What could go wrong
This is a single completed trial with 600 participants, so results need confirmation. The technique may not work for all cases and could carry risks like any surgery.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Not a phased trial

Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.

Participants

600 people

The number who actually took part.

Started

Jun 2021

Finished

Aug 2022

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 to 45 years

Sex

Female participants only

Healthy volunteers

Accepted

You do not need to have the condition being studied to take part.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Cases with repeated c s. * Elective c s. * Singleton pregnancy. * Full term pregnancy. -BMI below30 * Cephalic presentation. * Women who accepted to participate in the study. * Placenta away from the lower segment Exclusion Criteria: * Fibroid uterus. * Infection as chorioamnionitis. * Maternal comorbidities. * Uterine anomalies. * Major Foetal congenital anomalies. * Placenta previa. Placental separation. Dehiscent LUS scar as assessed by us with cut off value 2.5mm. \-

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As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

EPO teqnique in fetal head extraction

Contacts and locations

Locations

  • Faculty of Medicine, Obstetrics and Gynecology department, Assiut University

    Asyut, Assiut Governorate, Egypt