Surgical Technique To Control Postpartum Hemorrhage

NCT03241849 | Completed

• 1 other identifier: STPPGE
• Study Type: interventional
• Target: 110
• Locations: 1 country
• Sites: 1

Brief Summary

Placenta accreta is an obstetrical complication where the placenta becomes firmly adherent to the uterine wall. Placenta accreta can lead to considerable maternal morbidity and mortality due to hemorrhage, infection, or other surgical complications such as those resulting from hysterectomy. Retained placenta accreta is usually a rare condition, but its prevalence is increasing due to the rise in the rate of deliveries by Cesarean section. Placenta accreta is a potentially life-threatening obstetric condition that requires a multidisciplinary approach to management. The incidence of placenta accreta has increased and seems to parallel the increasing cesarean delivery rate. Women at greatest risk of placenta accreta are those who have myometrial damage caused by a previous cesarean delivery with either an anterior or posterior placenta previa overlying the uterine scar. Diagnosis of placenta accreta before delivery allows multidisciplinary planning in an attempt to minimize potential maternal or neonatal morbidity and mortality.

Conditions

Post Partum Hemorrhage

Outcome Measures

Primary Outcomes (1)

• Amount of blood loss (mL)

  24 hours

Study Arms (1)

Modified surgical technique for placenta accreta

OTHER

Procedure: Modified surgical technique for placenta accreta

Interventions

Modified surgical technique for placenta accreta PROCEDURE

suturing of the myometrium splitted by the placenta in cases presented by placenta accreta

Modified surgical technique for placenta accreta

Eligibility Criteria

• Age: 20 Years - 40 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Estimated gestational age between 34 -40 weeks .
• Presence of total or focal parts of placenta accreta "morbidly adherent placenta" .
• Cases with mild vaginal bleeding or not having any vaginal bleeding

You may not qualify if:

• Severe attack of bleeding require an immediate intervention.
• Associated with placental abruption
• Patients with known bleeding disorders or on anticoagulant therapy.
• Preoperative decision to do peripartum hysterectomy.

Sponsors & Collaborators

• Assiut University: lead

Study Sites (1)

Women Health Hospital - Assiut university

Asyut, 71111, Egypt

Location

MeSH Terms

Conditions

Postpartum Hemorrhage

Condition Hierarchy (Ancestors)

Obstetric Labor Complications; Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Puerperal Disorders; Uterine Hemorrhage; Hemorrhage; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr

Study Record Dates

• First Submitted: August 1, 2017
• First Posted: August 8, 2017
• Study Start: August 1, 2017
• Primary Completion: January 1, 2020
• Study Completion: February 1, 2020
• Last Updated: June 23, 2020

Record last verified: 2020-06

Locations

EG (1)