الفهرس 
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Abstract
Background: Although the accelerated rate of cesarean section globally, there is still argue about the best and optimal surgical technique of it. Objective: This study was conducted to evaluate the effect of rectus muscle re-approximation by two different techniques during Cesarean Section (CS) on postoperative pain. Methods: our present study was a prospective, single-blinded, randomized controlled trial. It involved (n=156) primigravida women, with a single term pregnancy, undergoing their first lower segment Cesarean section. The participants were randomly organized into 3 equal groups; group (A): with rectus muscle non re-approximation technique, and group (B): had rectus muscle re-approximation by three simple interrupted sutures, and group (C) undergoing rectus muscle re-approximation by three vertical mattress sutures. Visual analogue scale (VAS) from 0 (no pain) to 10 (maximum pain) was used to assess postoperative pain after one week postoperatively as the primary outcome of our study. Secondary outcomes of present study were total analgesia intake during the whole first week postoperative, mean amount of intraoperative blood loss, duration of hospital stay, and occurrence of wound infection.