C-Section stitch showdown: single or double layer to avoid uterine scar problems?
NCT ID NCT07554001
First seen Apr 28, 2026 · Last updated Jun 23, 2026 · Updated 13 times
Summary
This study looked at 366 women having their first planned C-section to see whether closing the uterine incision with one layer of stitches or two layers affects the chance of developing a 'niche' — a small pocket in the scar that can cause spotting or pain. Half the women got single-layer closure, the other half double-layer. Researchers then checked for niche symptoms like prolonged or irregular bleeding. The goal is to find out which method is safer for long-term uterine health.
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Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.
This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.
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Contacts and locations
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Locations
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Kafrelsheikh University
Kafr ash Shaykh, Kafrelsheikh, 33516, Egypt
What this could mean
Our plain-language read of the trial. This is informational only — not medical advice or a prediction.
What this could lead to
If one closure method clearly reduces niche risk, it could guide surgeons to choose the better technique for future C-sections.
What could go wrong
This is a completed study with 366 participants, but niche diagnosis relied on symptoms rather than ultrasound, which may miss some cases. Results may not apply to women with prior C-sections.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.