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 subject of ongoing debate, particularly regarding uterine healing, surgical complications, and maternal outcomes. 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, LUMHS Jamshoro, from October 2021 to September 2022. A total of 100 women who underwent cesarean sections were included. Participants were divided into two comparable groups based on the uterine closure method: Group A received one-layer closure, while Group B underwent two-layer closure. Outcomes analyzed included operative time, estimated blood loss, postoperative pain, febrile morbidity, and wound complications. Results: The operative time in the one-layer closure group was significantly shorter than in the two-layer group (p < 0.05). Both groups showed comparable results for estimated blood loss, febrile morbidity, and wound complications. The one-layer group reported slightly lower postoperative pain scores, though the difference was not clinically significant. Conclusion: One-layer uterine closure resulted in a shorter operative time without increasing the risk of short-term postoperative complications. This technique appears to be a safe and efficient alternative to the standard two-layer closure for cesarean delivery. Further research is needed to assess its long-term effects on uterine integrity and future pregnancies.