NCT07634679

Impact of a Bladder Flap on Cesarean Scar Niche Development

Not Yet Recruiting
NAAges 18+InterventionalPrevention
Montefiore Medical Center
~130 participants
Updated 2026-07-20 on ClinicalTrials.gov
What's tested:Bladder flap formation

At a glance

Recruiting sites
0 of 2 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Presence of cesarean scar niche
Measured over From enrollment to transvaginal ultrasound, completed approximately 6-8 weeks postpartum
Cesarean Scar Defect
2 sites across 1 states
New York2
  • Pe'er Dar, MD · PRINCIPAL_INVESTIGATOR · Montefiore Medical Center

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Eligibility criteria

Inclusion

Age 18 years or older
Primary low transverse cesarean section performed at Montefiore Weiler or Wakefield Hospitals
Able to provide informed consent in English or Spanish
Plan for postpartum care at Montefiore Medical Center

Exclusion

History of a prior uterine surgery
Known congenital uterine anomalies
Inability to safely access lower uterine segment at time of delivery
Hysterotomy is extended past/outside the lower uterine segment at time of surgery
Hysterectomy is indicated prior to postpartum follow-up
  • Presence of cesarean scar nicheFrom enrollment to transvaginal ultrasound, completed approximately 6-8 weeks postpartum

    A dichotomous measure of the presence or absence of a cesarean scar niche, as defined by a residual myometrial thickness of \<3mm at the scar level, detected on transvaginal ultrasound. The presence of a cesarean scar niche increases risk for gynecologic complaints and abnormal placentation in subsequent pregnancies.