{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:13:40Z","timestamp":1787015620990,"version":"build-2736575974"},"reference-count":31,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2021,6,15]],"date-time":"2021-06-15T00:00:00Z","timestamp":1623715200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100012021","name":"Iran University of Medical Sciences","doi-asserted-by":"publisher","award":["96\u201003\u2010218\u201032133"],"award-info":[{"award-number":["96\u201003\u2010218\u201032133"]}],"id":[{"id":"10.13039\/100012021","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>We compared the effectiveness of the Babu and Magon uterine closure technique and unlocked double\u2010layer uterine closure on the integrity and thickness of the uterine scar.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A randomized double\u2010blind trial was performed at Hazrat\u2010e Rasoul \u2010e\u2010Akram Hospital, Tehran, Iran, from March 2018 to December 2019, in 72 pregnant women who were candidates for cesarean section for the first time. Women were randomly assigned to the Babu and Magon uterine closure technique (intervention group,\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a034) or double\u2010layer closure of the uterine incision (control group,\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a038). The primary outcome of the study was the frequency of myometrial defects at the site of the scar (niche), and a large niche. Secondary outcomes, including the time taken for uterine closure and postpartum hemorrhage (early and late), were compared between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Adjacent myometrium thickness (AMT) between the two groups was not statistically significant. A niche was reported in 23.5% (8\/34) and 50% (19\/38) of women in the intervention and controls, respectively (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.02). A large niche was reported in 2.9% (1\/34) and 23.7% (9\/38) of women in the intervention and controls, respectively (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). The duration of uterine closure was not statistically significant between the two groups. Hemoglobin levels did not differ significantly between groups during the first 24\u2009h post\u2010surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The results of the study showed that the technique of uterine closure is one of the main potential determinants of myometrial healing. The Babu and Magon uterine closure technique seems to lead to tissue alignment during suturing and consequently cause better myometrial healing, although this issue calls for well\u2010founded longer studies of appropriate design.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jog.14889","type":"journal-article","created":{"date-parts":[[2021,6,15]],"date-time":"2021-06-15T21:11:47Z","timestamp":1623791507000},"page":"3186-3195","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Babu and Magon uterine closure technique during cesarean section: A randomized double\u2010blind trial"],"prefix":"10.1111","volume":"47","author":[{"given":"Kobra","family":"Tahermanesh","sequence":"first","affiliation":[{"name":"Endometriosis Research Center Iran University of Medical Sciences (IUMS)  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahla","family":"Mirgalobayat","sequence":"additional","affiliation":[{"name":"Endometriosis Research Center Iran University of Medical Sciences (IUMS)  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alireza","family":"Aziz\u2010Ahari","sequence":"additional","affiliation":[{"name":"Department of Radiology Rasoul Akram Hospital, Iran University of Medical Sciences (IUMS)  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Maleki","sequence":"additional","affiliation":[{"name":"School of Medicine Iran University of Medical Sciences (IUMS)  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neda","family":"Hashemi","sequence":"additional","affiliation":[{"name":"Endometriosis Research Center Iran University of Medical Sciences (IUMS)  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mansooreh","family":"Samimi","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, School of Medicine Kashan University of Medical Sciences  Kashan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abbas","family":"Fazel Anvari\u2010Yazdi","sequence":"additional","affiliation":[{"name":"Division of Biomedical Engineering College of Engineering, University of Saskatchewan  Saskatoon Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roya","family":"Shahriyaripour","sequence":"additional","affiliation":[{"name":"Endometriosis Research Center Iran University of Medical Sciences (IUMS)  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrich","family":"Pecks","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University Hospitals Schleswig\u2010Holstein, Campus Kiel  Kiel Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leila","family":"Allahqoli","sequence":"additional","affiliation":[{"name":"School of Public Health Iran University of Medical Sciences (IUMS)  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim","family":"Alkatout","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University Hospitals Schleswig\u2010Holstein, Campus Kiel  Kiel Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,6,15]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jog.12593"},{"issue":"5","key":"e_1_2_10_3_1","first-page":"545","article-title":"Prevalence and causes of cesarean section in Iran: systematic review and meta\u2010analysis","volume":"43","author":"Azami\u2010Aghdash S","year":"2014","journal-title":"Iran J Public Health"},{"issue":"8","key":"e_1_2_10_4_1","first-page":"362","article-title":"The optimal uterine closure technique during cesarean","volume":"4","author":"Bujold E","year":"2012","journal-title":"N Am J Med Sci"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.10077"},{"issue":"12","key":"e_1_2_10_6_1","first-page":"2695","article-title":"Why do niches develop in caesarean uterine scars? 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