Impact of a Bladder Flap on Cesarean Scar Niche Development

Starting soon · Not applicable

Conditions studied: Cesarean Scar Defect

In brief

The goal of this trial is to examine if the completion or omission of a bladder flap impacts the location and formation of cesarean scar niche in women undergoing primary cesarean section. The main question it aims to answer is if omission of a bladder flap changes the prevalence of cesarean scar niche on a 6-8 week postpartum ultrasound. Researchers will compare participants that have a bladder flap made to those that have a bladder flap omitted at time of their primary cesarean delivery. Participants will have routine postpartum care and be asked to return for a 6-8 week postpartum transvaginal ultrasound.

Key facts

Study ID

NCT07634679

Run by

Montefiore Medical Center

People needed

130

Starts

2026-07-01

Expected to finish

2032-05-01

Last updated by the study team

2026-07-20

Who can join

Age: 18 and older. Sex: female. Healthy volunteers: not accepted.

You may qualify if…

• 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

You may not qualify if…

• 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

Where it is running

• Jack D. Weiler Hospital - Einstein Campus — The Bronx, New York, United States
• Montefiore Einstein Hospital - Wakefield Campus — The Bronx, New York, United States

Full record on ClinicalTrials.gov

Trial information comes from ClinicalTrials.gov and is refreshed daily. TrialsForMe does not provide medical care and does not run the studies it lists.