Table 1Summary of the protocol (PICO table)

PopulationWomen undergoing planned (elective) or unplanned (emergency/intrapartum) caesarean birth
  • pregnancy at or near term (≥ 34 weeks)
  • lower segment transverse uterine incision
InterventionSingle layer closure of the uterus
ComparisonDouble layer closure of the uterus
OutcomesCritical outcomes:
  • Need for blood transfusion (within 7 days of operation)
  • Additional surgical procedures (within 7 days of operation)
  • Uterine rupture in subsequent pregnancy
Important outcomes:
  • Use of antibiotics (within 7 days of operation)
  • Morbidly adherent placenta/abnormal invasion of placenta in subsequent pregnancy
  • Peri-partum hysterectomy in subsequent pregnancy
  • Caesarean birth in subsequent pregnancy

From: Techniques to close the uterus at caesarean birth

Cover of Techniques to close the uterus at caesarean birth
Techniques to close the uterus at caesarean birth: Caesarean birth: Evidence review D.
NICE Guideline, No. 192.
National Guideline Alliance (UK).
Copyright © NICE 2021.

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