Over 20% of women who give birth in the UK now have a caesarean section and assessing what is the best care for these women is clearly an important issue in maternity care. 3031 women were recruited to the CAESAR Study from 47 hospitals throughout the UK and Italy, to evaluate the following alternative approaches to three aspects of caesarean section:
- single versus double-layer closure of the uterus
- closure versus non-closure of the pelvic peritoneum
- restricted versus liberal use of sub-sheath drain
Outcomes being compared in CAESAR are:
- postnatal use of antibiotics
- women's experience of pain
- maternal infections
- post-operative complications including rehospitalisation within 6 weeks
The final report of the CAESAR study has been published.View the CAESAR Paper.
A follow-up study is being planned to assess longer-term outcomes, such as subsequent subfertility, mode of delivery and integrity of the uterine scar in further pregnancies amongst the women who have taken part in CAESAR.