Diagnostic Accuracy of Doppler Ultrasound and Role of Uterine Artery Doppler in Cases of Placenta Accreta
Trial Snapshot
- Phase
- Not Applicable
- Sponsor
- Enrollment
- 100
- Primary Endpoint
- accuracy of ultrasound and doppler in detecting placenta accreta
Study Overview
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
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Diagnostic
- Masking
- None
Eligibility Criteria
- Ages
- 20 Years to 45 Years (Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Criteria:Inclusion Criteria
- •Gestational age more than 28 weeks
- •Single living fetus.
- •One or more cesarean section or hysterotomy.
- •Placenta previa (all grades) with high possibility of morbidly adherent placenta accreta (all types).
Exclusion Criteria
- •Maternal chronic medical disorder (diabetes mellitus or hypertension).
- •Pregnancy induced disorders (pre-eclampsia or gestational diabetes).
- •Associated fetal anomalies.
Arms & Interventions
placenta previa
cases diagnosed as placenta previa diagnosed by ultrasound and doppler
Intervention: ultrasound and doppler (Diagnostic Test)
placenta accreta
placenta previa diagnosed as placenta accreta by ultrasound and doppler
Intervention: ultrasound and doppler (Diagnostic Test)
Outcomes
Primary Outcomes
accuracy of ultrasound and doppler in detecting placenta accreta
Time Frame: 3 moths
accuracy of uterine artery doppler in diagnosing placenta accreta diagnosed intraoperative or by histopathological examination done after cesarian hysterectomy
Secondary Outcomes
- accuracy of ultrasound in detecting placenta accreta diagnosed intraoperative or by histopathological examination done after cesarian hysterectomy(3 months)
Investigators
hala nabil
principle investigator
Cairo University