Outcome of modified Misgav Ladach (MML) method in first and second time caesarean deliveries

ISRCTN ISRCTN26532492
DOI https://doi.org/10.1186/ISRCTN26532492
Secondary identifying numbers N/A
Submission date
31/01/2009
Registration date
19/02/2009
Last edited
20/02/2009
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Pregnancy and Childbirth
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Ali Gedikbasi
Scientific

Istanbul cad no:95
Bakyrkoy
Istanbul Bakirkoy Maternity and Children's Hospital
Department of Obstetrics and Gynaecology
Istanbul
34750
Türkiye

Study information

Study designNon-randomised controlled single-centre trial
Primary study designInterventional
Secondary study designNon randomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleOutcome of modified Misgav Ladach (MML) method in first and second time caesarean deliveries: a non-randomised controlled single-centre trial
Study objectivesDoes modified Misgav Ladach (MML) method result in better outcomes in first time caesarean deliveries compared to second time caesarean deliveries?
Ethics approval(s)Istanbul Bakirkoy Maternity and Children's Hospital Ethical Committee, approved on 07/11/2008.
Health condition(s) or problem(s) studiedCaesarean deliveries
InterventionThis trial is taking place at the Istanbul Bakirkoy Maternity and Children's Hospital, Department of Obstetrics and Gynaecology.

Approximately 200 patients will be recruited, 50 patients in each of the following four groups:

Patients who have never had a caesarean operation:
Group 1: Caesarean delivery with the Pfannenstiel method
Group 2: Caesarean delivery with the MML method

Patients who have had a caesarean operation in previous pregnancy:
Group 3: Caesarean delivery with the Pfannenstiel method
Group 4: Caesarean delivery with the MML method

Patient allocation will be carried out as follows:
On Mondays: Patients planned for first time caesarean delivery will be operated with the MML method.
On Tuesdays: Patients planed for first time caesarean delivery will be operated by the Pfannenstiel method. Patients planned for second time caesarean delivery will be operated by the MML method.
On Fridays: Patients planned for second caesarean deliveries will be operated by the Pfannenstiel method.

Total duration of follow-up: 4 weeks after operation
Intervention typeOther
Primary outcome measureSurgical outcomes:
1. Operation time
2. Time until delivery of neonate
3. APGAR score
4. Haemoglobin
5. Haematocrit
6. Surgical complications
Secondary outcome measuresPost-operative outcomes:
1. Hospital stay
2. Febrile morbidity
3. Scar complications
4. Infection
5. Post-operative recovery

Secondary outcomes 2 to 5 were assessed 2 and 7 days after caesarean operation. However, patients who experienced any problem were followed-up until resolution of the problem.
Overall study start date15/11/2008
Completion date15/02/2009

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target number of participantsApproximately 200
Key inclusion criteria1. Term pregnancies >36 weeks of gestation
2. No age limit
Key exclusion criteria1. Intrauterine infection
2. Anaemia (<haematocrit [Htc] %28)
3. Preoperative transfusion
4. Maternal urinary infection
5. Maternal fever (>37.5 Celsius)
6. Use of antibiotics in the last 7 days
7. Placenta previa
8. Abruptio placenta
9. Severe preeclampsi and Hellp syndrome
Date of first enrolment15/11/2008
Date of final enrolment15/02/2009

Locations

Countries of recruitment

  • Türkiye

Study participating centre

Istanbul cad no:95
Istanbul
34750
Türkiye

Sponsor information

Istanbul Bakirkoy Maternity and Children's Hospital (Turkey)
Hospital/treatment centre

c/o Dr Ali Gedikbasi
Department of Obstetrics and Gynaecology
Istanbul cad no. 95
Bakirkoy
Istanbul
34750
Türkiye

Website http://www.bakirkoydogumevi.gov.tr

Funders

Funder type

Hospital/treatment centre

Istanbul Bakirkoy Maternity and Children's Hospital, Department of Obstetrics and Gynaecology (Turkey)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan