ONE- VERSUS TWO-LAYER CLOSURE AT CESAREAN BIRTH

Authors

  • Jabeen Atta Bilawal Medical College, Liaquat University of Medical and Health Sciences Jamshoro-Pakistan
  • Maryam Phulpoto Bilawal Medical College, Liaquat University of Medical and Health Sciences Jamshoro-Pakistan
  • Roohi Nigar Bilawal Medical College, Liaquat University of Medical and Health Sciences Jamshoro-Pakistan
  • Zubair Ahmed Yousfani Bilawal Medical College, Liaquat University of Medical and Health Sciences Jamshoro-Pakistan
  • Muhammad Hanzala Yousfani Bilawal Medical College, Liaquat University of Medical and Health Sciences Jamshoro-Pakistan
  • Noor ul Ain Bilawal Medical College, Liaquat University of Medical and Health Sciences Jamshoro-Pakistan

DOI:

https://doi.org/10.55519/JAMC-S4-14696

Keywords:

(Key words: Complete heart block (CHB), Acute anterior wall myocardial infarction (AWMI).

Abstract

Background: Cesarean delivery is one of the most commonly performed surgical procedures worldwide. The technique of uterine closure plays a significant role in postoperative recovery and future reproductive outcomes. However, the optimal method of uterine closure—whether one-layer or two-layer—remains a subject of ongoing debate, particularly regarding uterine healing, surgical complications, and maternal outcomes. This study aimed to compare the clinical outcomes of one-layer versus two-layer uterine closure techniques following cesarean birth. Methods: This comparative observational study was conducted at Bilawal Medical College, LUMHS Jamshoro, from October 2021 to September 2022. A total of 100 women who underwent cesarean sections were included. Participants were divided into two comparable groups based on the uterine closure method: Group A received one-layer closure, while Group B underwent two-layer closure. Outcomes analyzed included operative time, estimated blood loss, postoperative pain, febrile morbidity, and wound complications. Results: The operative time in the one-layer closure group was significantly shorter than in the two-layer group (p < 0.05). Both groups showed comparable results for estimated blood loss, febrile morbidity, and wound complications. The one-layer group reported slightly lower postoperative pain scores, though the difference was not clinically significant. Conclusion: One-layer uterine closure resulted in a shorter operative time without increasing the risk of short-term postoperative complications. This technique appears to be a safe and efficient alternative to the standard two-layer closure for cesarean delivery. Further research is needed to assess its long-term effects on uterine integrity and future pregnancies.

References

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Published

2024-12-16

How to Cite

1.
Atta J, Phulpoto M, Roohi Nigar, Zubair Ahmed Yousfani, Muhammad Hanzala Yousfani, Noor ul Ain. ONE- VERSUS TWO-LAYER CLOSURE AT CESAREAN BIRTH. J Ayub Med Coll Abbottabad [Internet]. 2024 Dec. 16 [cited 2025 Aug. 3];36(4 (Suppl 1). Available from: https://www.jamc.ayubmed.edu.pk/index.php/jamc/article/view/14696

Issue

Vol. 36 No. 4 (Suppl 1) (2024): JOURNAL OF AYUB MEDICAL COLLEGE ABBOTTABAD

Section

ORIGINAL ARTICLE

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Copyright (c) 2024 Jabeen Atta, Maryam Phulpoto, Roohi Nigar, Zubair Ahmed Yousfani, Muhammad Hanzala Yousfani, Noor ul Ain

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