New Cesarean Technique Faces Scrutiny Over Time, Potential Impact on Women’s Reproductive Health
A novel surgical technique for closing the uterus during cesarean sections - designed to promote better healing and future fertility - is drawing criticism for its increased operating time.A recent study highlights a debate within the obstetric community regarding the balance between surgical speed and meticulous uterine restoration.
While standard cesarean closure techniques take roughly two to three minutes, the new method can extend the procedure to five to eight minutes. Proponents argue the extra time is crucial for preserving the uterine mucosa and supporting natural regeneration, possibly improving long-term reproductive outcomes for women. However, critics question whether the added duration is justified, notably given the high volume of cesarean deliveries performed globally.
The technique involves a third suture to fully enclose the uterus, with doctors emphasizing the importance of avoiding intervention on the uterine mucosa. “We do not intervene on the uterine mucosa so as not to hinder its natural regeneration,” explains Dr. Emmanuel bujold, one of the study’s authors.
Dr. Bujold defends the longer procedure, stating, “The additional blood loss that follows is marginal. Our position is that meticulous and adequate restoration of the structure of the uterus is more meaningful than the speed of the procedure. The future reproductive health of women who undergo cesarean section must be prioritized.”
Cesarean section rates have been steadily climbing, now accounting for approximately 27% of births worldwide and in Quebec – double the rate recorded 30 years ago. The study aims to spark a broader conversation within the obstetric community about best practices for uterine closure and its potential impact on women’s reproductive futures. “The goal is to raise awareness among the entire obstetric community around the world,” Dr. Bujold concluded.
