C-Section scar healing: which stitch method works best?
NCT ID NCT07611331
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looked at 384 women having their first C-section to compare two methods of closing the uterus: one layer of stitches vs. two layers. The goal was to see which method leads to better scar healing and fewer problems like pain or irregular bleeding. Researchers used ultrasound to measure scar thickness and defects at 6 weeks and 6 months after surgery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- surgical procedure (single-layer or double-layer uterine closure)
- What this could lead to
- If one technique proves better, it could guide surgeons to use the method that reduces scar defects and related symptoms like pain or abnormal bleeding.
- What could go wrong
- This is a completed study, but results may not apply to all women or settings. The findings are based on ultrasound measurements, not long-term outcomes.
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
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384 people
The number who actually took part.
- Started
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Jan 2025
- Finished
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Apr 2026
- 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
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18 to 45 years
- Sex
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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 Hide 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: * Women aged 18 years or older * Singleton pregnancy * Gestational age ≥ 37 weeks (term pregnancy) * Scheduled or emergency primary cesarean section (first cesarean delivery, no previous uterine scar) * Low transverse uterine incision (Pfannenstiel or Joel-Cohen approach) * Ability to provide written informed consent * Willingness to attend follow-up visits at 6 weeks and 6 months postoperatively * Patient affiliated to a social security system or equivalent healthcare coverage Exclusion Criteria: * Previous uterine surgery (prior cesarean section, myomectomy, uterine perforation, or any procedure leaving a uterine scar) * Multiple pregnancy (twins or higher-order multiples) * Preterm delivery (gestational age \< 37 weeks) * Classical (vertical) or inverted T uterine incision * Placenta previa or placenta accreta spectrum disorder * Active uterine infection or chorioamnionitis at time of surgery * Coagulation disorders or anticoagulant therapy * Immunosuppressive therapy or conditions affecting wound healing (systemic corticosteroids, immunosuppressants) * Severe maternal comorbidities (uncontrolled diabetes, connective tissue disorders, chronic renal failure) * Participation in another interventional clinical trial * Patient unable to attend scheduled follow-up visits * Patient unable to understand or sign informed consent * Fetal demise or major fetal malformation
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Hedi Chaker university hospital
Sfax, Sfax Governorate, 3000, Tunisia
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