Vol. 1, Issue 3, Part C (2015)

Objective: This study evaluated the impact of single-layer versus double-layer uterine closure techniques on the healing of uterine scars following cesarean section.

Materials and Methods: In this prospective, randomized trial, women aged 18 to 45 years with singleton pregnancies between 24 and 41 weeks of gestation were enrolled. None had a history of previous uterine surgery. A total of 146 participants were included, with 78 undergoing single-layer closure and 68 receiving double-layer closure.

Results: Baseline characteristics, including the incidence of emergency cesarean deliveries, were comparable between the two groups. The median distance from the niche to the external cervical os was similar in both groups. There were no significant differences in the rates of postmenstrual bleeding or pelvic pain/dysmenorrhea between the single-layer and double-layer closure groups.

Conclusion: Single-layer and double-layer uterine closure techniques showed no significant difference in their effects on uterine scar niche development.