Status:
UNKNOWN
the Efficacy and Safety of the 3-steps Conservative Approach in the Management of Placenta Accreta Spectrum (a Novel Technique)
Lead Sponsor:
Cairo University
Conditions:
Placenta Accreta, Third Trimester
Eligibility:
FEMALE
20-40 years
Brief Summary
Placenta accrete spectrum (PAS) is an heterogeneous condition associated with a high maternal morbidity and mortality rate, presenting unique challenges in its diagnosis and management (Morlandoi et a...
Detailed Description
* Informed written consent: after discussing the nature of the study as well as the expected value, outcome, and possible adverse effects. * Full medical history: including full obstetric history and ...
Eligibility Criteria
Inclusion
- Patients aged 20-40 years old.
- Pregnant females with previous CS deliveries (at least 1) diagnosed with focal or partial PAS (placenta accreta/increta/percreta) candidate for 3rd trimester cesarean delivery.
- Patients wishing uterine conservation to preserve fertility.
- Gestational age: \> 28 weeks confirmed by the 1st day of the LMP or 1st trimesteric ultrasound scan.
- Singleton pregnancies.
- CS under general anesthesia.
Exclusion
- Maternal Anemia (hemoglobin \< 10 g %).
- Chronic or pregnancy induced medical disorders (e.g., cardiac, renal, DM and hepatic diseases).
- Patients presented with severe antepartum hemorrhage.
- Patients requested radical management (caesarean hysterectomy).
- Fetal death (IUFD).
- Fetal anomalies or IUGR (estimated fetal weight below the 5th centile).
- Women attending for emergency CS.
- Patients found to be suffering from placenta previa or total placenta accreta
Key Trial Info
Start Date :
February 15 2022
Trial Type :
OBSERVATIONAL
Allocation :
ESTIMATED
End Date :
May 15 2022
Estimated Enrollment :
28 Patients enrolled
Trial Details
Trial ID
NCT05191316
Start Date
February 15 2022
End Date
May 15 2022
Last Update
January 13 2022
Active Locations (1)
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1
Kasr al Ainy university, obstetrics and gynecology department
Cairo, Greater-cairo, Egypt, 11562