Endometrium-Free Closure Technique During Cesarean Delivery for Reducing the Risk of Niche Formation and Placenta Accretive Spectrum Disorders

This study investigates the prevalence and severity of residual defects following cesarean delivery using the endometrium-free closure technique (EFCT).

It compares EFCT with routine closure methods in women with a history of one prior cesarean section.

The central hypothesis revolves around whether a specific closure technique results in notable differences in niche defect prevalence and severity.

Niche defects are recognized as risk factors for placenta accreta spectrum, with a depth of more than two millimeters considered significant.

The study elucidates the impact of the hysterotomy closure technique on post-cesarean residual defects.