Mostafa Maged Technique to Control and Prevent the Post-Partum Bleeding From the Lower Uterine Segment in Placenta Previa Cases

NCT05283122 | Completed

• 1 other identifier: R 207
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Post - partum haemorrhage is still a headache to all obstetricians around the whole world . Every obstetrician exerts his own full effort to control bleeding which can occur post-partum by applying all maneuvers to preserve the fertility and the uterus for the patient . demonstration of ( Mostafa Maged ) technique is applied to control and prevent post-partum haemorrhage . It is so simple maneuver and easy to be applied within short period of time .Satisfactory hemostasis can be assessed after application .

Conditions

Placenta Previa

Keywords

Mostafa Maged technique; placenta previa; lower uterine segment; caeserian section

Outcome Measures

Primary Outcomes (1)

• primary post-partum bleeding

  prevention and management of bleeding from lower segment ....estimation of number of pads used during section to estimate blood loss ... and to assess the number of blood loss postpartum roughly visually

  twenty-four hours post-partum

Study Arms (1)

The Mostafa Maged technique to prevent and control post-partum bleeding in placenta previa cases

EXPERIMENTAL

primigravida patients with placenta previa conditions and their ages between ( 18 - 30 ) years old

Procedure: Mostafa Maged Technique

Interventions

Mostafa Maged Technique PROCEDURE

pfannestiel incision . dissection of the bladder downwards , and Ligation of the uterine arteries on both sides then , we turn over the upper part of the lower uterine segment onto the lower part of the lower uterine segment from the inside of uterine cavity .We do this turnover (flipping ) by our hands and holding the imaginary line by two Allis forceps and by making three knots by three needles in the lower edge of the uterine incision and we enter the needles of simultaneously into the lower segment through the uterine cavity , at the same level of , the inside wall of lower uterine segment to drag the upper (half) part of the lower uterine segment on the lower part of lower uterine segment ( sandwich - like ) Third , we stitch the both sides of the flipped lower uterine segment , then we do plication of the anterior lower uterine segments to strengthen the wall of the flipped lower uterine segment and place a drain in the doglus pouch

The Mostafa Maged technique to prevent and control post-partum bleeding in placenta previa cases

Eligibility Criteria

• Age: 18 Years - 30 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• pregnant primigravida patients with placenta previa
• to 30 years old

You may not qualify if:

• patients with bleeding disorders
• smokers
• morbid obese patients

Sponsors & Collaborators

• Fayoum University: lead

Study Sites (1)

Fayoum general hospital and Fayoum university

Al Fayyum, 0020, Egypt

Location

MeSH Terms

Conditions

Placenta Previa

Condition Hierarchy (Ancestors)

Obstetric Labor Complications; Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Placenta Diseases

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: Principal investigator

Model Details: primigravida pregnant patients with placenta previa conditions

Study Record Dates

• First Submitted: March 8, 2022
• First Posted: March 16, 2022
• Study Start: March 24, 2022
• Primary Completion: May 20, 2022
• Study Completion: May 20, 2022
• Last Updated: August 1, 2022

Record last verified: 2022-07

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)