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Can a simple stitch pattern reduce bleeding in repeat C-Sections?

NCT ID NCT07758959

Disease control Sponsor: Natasha Bushra Source: ClinicalTrials.gov ↗

What the study statuses mean

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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 This study
Running, but no longer taking on new participants.
Completed
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 Results may not be published yet.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)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
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

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Aug 11, 2026 · Last updated Aug 12, 2026 · Updated 1 time

Summary

This trial tests two surgical stitching techniques—purse-string versus transverse mattress—to see which controls bleeding better in women with thinned uterine scars undergoing a repeat cesarean section. Participants are randomly assigned to one method, and doctors measure how quickly bleeding stops and how many extra stitches are needed. The goal is to find a safer, more efficient way to manage this common surgical challenge.

What this could mean

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

Active substance
Purse-string suture or transverse mattress suture procedure
What this could lead to
If one technique proves faster and more effective, it could become the preferred method to reduce bleeding complications in repeat cesarean sections.
What could go wrong
This is a small, early-stage trial with only 60 participants, so results may not apply broadly. Surgical outcomes can vary by surgeon skill and patient anatomy.

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

60 people

The number who actually took part.

Started

Aug 2026

Expected to finish

Dec 2026

An estimate. End dates often move.

Lead sponsor

A government agency

The lead sponsor is a government body.

Who can take part

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

Ages

18 to 40 years

Sex

Female participants only

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

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: * Females aged 18 to 40 years. * Gestational age \>37 weeks at the time of delivery. * Parity \<5. * History of one or more previous cesarean sections. * Intraoperative evidence of a thinned-out lower uterine segment scar during repeat cesarean section. Exclusion Criteria: * Preeclampsia (blood pressure ≥140/90 mmHg with proteinuria \>+1 on dipstick). * Gestational diabetes mellitus. * Placental abnormalities, including placenta previa, placenta accreta spectrum (accreta/increta), or placental abruption. * Previous uterine repair scar. * Coagulation disorder (prothrombin time \>15 seconds).

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As listed by the trial registrant

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

Thinned-out lower uterine segment scar previous cesarean section

Contacts and locations

Locations

  • Lahore general hospital

    Lahore, Punjab Province, 54070, Pakistan