Scar Evaluation after Caesarean by Ultrasound Registry

ISRCTN ISRCTN39988897
DOI https://doi.org/10.1186/ISRCTN39988897
Secondary identifying numbers N/A
Submission date
27/06/2007
Registration date
27/06/2007
Last edited
05/08/2021
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Urological and Genital Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr A.J.M. Bij de Vaate
Scientific

Vrije University Medical Centre (VUMC)
Department of Obstetrics and Gynaecology
De Boelelaan 1117
Amsterdam
1081 HV
Netherlands

Phone +31 (0)20 444 3613
Email m.bijdevaate@vumc.nl

Study information

Study designObservational prospective cohort study
Primary study designObservational
Secondary study designCohort study
Study setting(s)Hospital
Study typeScreening
Scientific titleScar Evaluation after Caesarean by Ultrasound Registry
Study acronymSECURE
Study objectivesThe primary hypothesis is that an association exists between the presence of a niche and abnormal uterine bleeding in women who had a previous caesarean section.
Ethics approval(s)Ethics approval received from the medical ethics committee of Vrije University Medical Centre (METc VUmc) on the 4th September 2007 (ref: 2007/126).
Health condition(s) or problem(s) studiedAbnormal uterine bleeding, uterine rupture, caesarean section
InterventionGel instillation sonohysterography is performed 6 to 12 months after caesarean section to detect a niche. Women are asked to fill in a questionnaire and keep a diary card to discover abnormal uterine bleeding.

In case of subsequent pregnancy, transvaginal ultrasound is performed to detect the presence of a niche and measure the thinnest zone of the lower uterus segment.
Intervention typeOther
Primary outcome measure1. A well circumscribed anatomical niche classification. The niches will be measured by ultrasound 6 - 12 months after caesarean section
2. A difference in uterine bleeding pattern between women with different niche types (based on the classification), with a follow-up of the bleeding pattern for 5 years after caesarean section
Secondary outcome measures1. To demonstrate a relation between niche and Lower Uterine Segment (LUS) thickness in case of a subsequent pregnancy. The LUS will be measured between 16 and 20 weeks’ gestation, and between 36 and 38 weeks’ gestation
2. To demonstrate an association between:
2.1. Niche and (in)complete uterine rupture
2.2. LUS thickness and (in)complete uterine rupture
To identify an (in)complete rupture, the course of the pregnancy will be recorded
Overall study start date01/07/2007
Completion date01/07/2012

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexFemale
Target number of participants224
Total final enrolment225
Key inclusion criteria1. Caesarean delivery in the past history
2. Signed informed consent form
Key exclusion criteria1. Pregnancy
2. Pelvic inflammatory disease
Date of first enrolment01/07/2007
Date of final enrolment01/07/2012

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Vrije University Medical Centre (VUMC)
Amsterdam
1081 HV
Netherlands

Sponsor information

Vrije University Medical Centre (VUMC) (The Netherlands)
Hospital/treatment centre

Department of Obstetrics and Gynaecology
Division of Reproductive Medicine
P.O. Box 7057
Amsterdam
1007 MB
Netherlands

Website http://www.vumc.nl/english/
ROR logo "ROR" https://ror.org/00q6h8f30

Funders

Funder type

Hospital/treatment centre

Vrije University Medical Centre (VUMC) (The Netherlands)

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

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 01/01/2011 05/08/2021 Yes No

Editorial Notes

05/08/2021: Publication reference and total final enrolment added.