Diagnostic Accuracy of Doppler Ultrasound and Role of Uterine Artery Doppler
- Conditions
- Placenta Accreta
- Interventions
- Diagnostic Test: ultrasound and doppler
- Registration Number
- NCT03530475
- Lead Sponsor
- Kasr El Aini Hospital
- Brief Summary
This study will be conducted on (100) pregnant women diagnosed as placenta previa by ultrasonography and are candidates for either emergency or elective repeated cesarean section or hysterectomy (if the diagnosis of placenta accreta is confirmed).
All of those patients are presenting during the period of may 2018 to july 2018 to Kasr-Al Ainy Obstetrics outpatient clinic or casualty department during their 3rd trimester.
All of them will be assorted according to certain inclusion and exclusion criterions as follow:
- Detailed Description
This study will be conducted on (100) pregnant women diagnosed as placenta previa by ultrasonography and are candidates for either emergency or elective repeated cesarean section or hysterectomy (if the diagnosis of placenta accreta is confirmed).
Those patients are attending to Kasr-Al Ainy Obstetrics outpatient clinic or casualty department during their 3rd trimester.
Ultrasound and doppler will be done to all patients to diagnose placenta accreta . The diagnosis will be confirmed by intraoperative assessments and histopathological examination of the uterus after cesarean hysterectomy
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- Female
- Target Recruitment
- 100
Not provided
- Maternal chronic medical disorder (diabetes mellitus or hypertension).
- Pregnancy induced disorders (pre-eclampsia or gestational diabetes).
- Associated fetal anomalies.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description placenta previa ultrasound and doppler cases diagnosed as placenta previa diagnosed by ultrasound and doppler placenta accreta ultrasound and doppler placenta previa diagnosed as placenta accreta by ultrasound and doppler
- Primary Outcome Measures
Name Time Method accuracy of ultrasound and doppler in detecting placenta accreta 3 moths accuracy of uterine artery doppler in diagnosing placenta accreta diagnosed intraoperative or by histopathological examination done after cesarian hysterectomy
- Secondary Outcome Measures
Name Time Method accuracy of ultrasound in detecting placenta accreta diagnosed intraoperative or by histopathological examination done after cesarian hysterectomy 3 months 1. Loss of normal hypoechoic retroplacental zone
2. Multiple vascular lacunae (irregular vascular spaces) within placenta
3. Blood vessels or placental tissue bridging uterine-placental margin, myometrial-bladder interface, or crossing uterine serosa1
4. Retroplacental myometrial thickness of 1 mm
5. Bladder wall interruption
6. Presence of placental bulge
7. Utero-vesical hypervascularity
3.Intraoperative complications
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