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).