Design and Participants
This study assessed CD patients who were admitted to the Obstetrics and
Gynecology Clinic of the Başkent University Adana Dr. Turgut Noyan
Research and Application Center between July 2018 and September 2019.
Specifically, participants were singleton pregnancy patients between
18-45 years of age who were in gestational weeks 24-41 and had not
previously received any uterine operations such as CS or myomectomy.
Patients with multiple pregnancies and/or chronic inflammatory diseases
such as systemic lupus erythematous, rheumatoid arthritis, and
insulin-dependent diabetes mellitus were excluded. All patients who met
the inclusion criteria were randomized into two treatment groups (i.e.,
single- or double-layer closures).
Patients who agreed to participate in this study were informed about the
purpose prior to their operations and each provided signed written
consent.
Participants were also assessed for maternal age, gravidity, parity,
body mass index, smoking status, diabetes mellitus, hypertensive
diseases of pregnancy, and medical history. Regardless of whether they
had contractions before surgery, this study also determined patient CD
indications, levels of cervical dilatation, and how CD was established
(i.e., elective or emergent).