ONE- VERSUS TWO-LAYER CLOSURE AT CESAREAN BIRTH

 Background: Cesarean delivery is one of the most commonly performed surgical procedures worldwide. The technique of uterine closure plays a significant role in postoperative recovery and future reproductive outcomes. However, the optimal method of uterine closure—whether one-layer or two-layer—remains a topic of ongoing debate, particularly in terms of uterine healing, surgical complications, and maternal outcomes. Aim: This study aimed to compare the clinical outcomes of one-layer versus two-layer uterine closure techniques following cesarean birth. Methods: This comparative observational study was conducted at Bilawal medical College at LUMHS Jamshoro, from October 2023 to September 2024. A total of 100 women who underwent cesarean sections were included in the study. The research participants formed two comparable groups through uterine closure methods. Group A received one-layer closure while Group B underwent a two-layer closure. Operative time along with estimated blood loss and postoperative pain and febrile morbidity and wound complications were among the collected and analyzed intraoperative and postoperative outcomes. Results: The research showed the operative time for the one-layer closure group was dramatically shorter than the two-layer closure group (p < 0.05). The two treatment groups showed similar results in terms of estimated blood loss together with febrile morbidity and wound complications. The one-layer group had a slightly lower pain score after surgery but the observed difference lacked clinical importance. Conclusion: One-layer uterine closure required less operative time but did not raise the risk of short-term complications after surgery. Research indicates that the one-layer closure method stands as a secure alternative for performing cesarean section delivery which reduces procedure time when compared to standard two-layer techniques. Additional research must evaluate what effects one-layer uterine closure may have on uterine health for future pregnancies.