Comparison of FAUCS vs. Misgav Ladach

Last updated: January 19, 2019
Sponsor: Bnai Zion Medical Center
Overall Status: Active - Recruiting

Phase

N/A

Condition

N/A

Treatment

N/A

Clinical Study ID

NCT03812406
FAUCS
  • Ages > 18
  • Female
  • Accepts Healthy Volunteers

Study Summary

This study aims to compare two techniques for performing a cesarean delivery: Misgav Ladach versus French Ambulatory Cesarean Section (FAUCS). The second techniques has been claimed to reduce post-operative pain, the need for analgesics, and reduce the time for ambulation. Such comparison has not been done so far, and this study will examined if indeed the FAUCS techniques offers any advantages.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • patients scheduled for a cesarean section

  • term pregnancy: 37-42 weeks

  • singleton pregnancy

  • age 18 and above

  • patients capable of signing an informed consent

Exclusion

Exclusion Criteria:

  • multiple pregnancy

  • emergency cesarean

  • previous 3 cesareans and above

  • placenta accreta

  • uterine myomas in the lower segment

  • fetal growth restriction

  • fetal anemia

  • preeclampsia

  • women scheduled for general anesthesia

Study Design

Total Participants: 120
Study Start date:
August 19, 2018
Estimated Completion Date:
September 19, 2019

Study Description

The FAUCS technique for performing a cesarean section has been described by a French group several years ago, and is claimed to reduce postoperative pain and increase ambulation. With this technique, after making the transverse skin incision, the fascia is opened vertically and to the left of the linea alba. The left rectus abdominis muscle is then pushed laterally, and the abdominal cavity is entered. The uterine incision in performed as usual. Due to the reduced incision size, a special spatula is used to facilitate extraction of the fetal head in some cases. No urinary catheter is used during or after the operation, and fluid administration is restricted during the procedure. The patient is encouraged to get out of bed 3-4 hours post surgery. This technique for performing a cesarean section will be compared with the traditional (Misgav Ladach technique) in terms of post-operative pain, need for analgesics, ambulation, neonatal outcome, and perioperative complications.

Connect with a study center

  • Bnai-Zion Medical Center

    Haifa,
    Israel

    Active - Recruiting

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.