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Doppler Imaging and Morbidly Adherent Placenta

Not Applicable
Conditions
Antepartum Hemorrhage
Interventions
Device: 3D Doppler Ultrasound
Registration Number
NCT03267446
Lead Sponsor
Cairo University
Brief Summary

The aim of this study is to assess the value of adding 3D power Doppler (as a diagnostic technique) to gray scale technique in the antenatal diagnosis of morbidly adherent placenta as well as predict the surgical outcome regarding the type of surgery and the intra operative morbidities.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
Female
Target Recruitment
60
Inclusion Criteria
  • Age: 18 - 45.
  • Pregnant 32 weeks or more.
  • Placenta previa (Major and Minor).
  • History of previous cesarean section.
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Exclusion Criteria
  • Medical disorders such as bleeding disorders.
  • Lethal fetal anomalies.
  • Delivery before 34 weeks.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Interventional group3D Doppler UltrasoundPatients confirmed having one or more of the signs of morbidly adherent placenta will be examined by 3D Ultrasound and 3D power Doppler. Patients will then be prepared for the operation.Cesarean hysterectomy will be done with removal of the uterus and the placenta as one mass.Cases with focal invasion of the uterus will be given a trial for conservative management. The whole specimen will be sent for histopathological examination, and the determination of length and depth of invasion.
Primary Outcome Measures
NameTimeMethod
Sensitivity of 3D power Doppler in detecting morbidly adherent placenta.12 months
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Kasr el aini hospital

🇪🇬

Cairo, Egypt

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