New Surgical Technique To Control Postpartum Hemorrhage Due To Placenta Accreta
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 110
- 试验地点
- 2
- 主要终点
- Amount of blood loss (mL)
研究概览
简要总结
Placenta accreta is an obstetrical complication where the placenta becomes firmly adherent to the uterine wall. Placenta accreta can lead to considerable maternal morbidity and mortality due to hemorrhage, infection, or other surgical complications such as those resulting from hysterectomy. Retained placenta accreta is usually a rare condition, but its prevalence is increasing due to the rise in the rate of deliveries by Cesarean section.
Placenta accreta is a potentially life-threatening obstetric condition that requires a multidisciplinary approach to management. The incidence of placenta accreta has increased and seems to parallel the increasing cesarean delivery rate. Women at greatest risk of placenta accreta are those who have myometrial damage caused by a previous cesarean delivery with either an anterior or posterior placenta previa overlying the uterine scar. Diagnosis of placenta accreta before delivery allows multidisciplinary planning in an attempt to minimize potential maternal or neonatal morbidity and mortality.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 40 Years(Adult)
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Estimated gestational age between 34 -40 weeks .
- •Presence of total or focal parts of placenta accreta "morbidly adherent placenta" .
- •Cases with mild vaginal bleeding or not having any vaginal bleeding
排除标准
- •Severe attack of bleeding require an immediate intervention.
- •Associated with placental abruption
- •Patients with known bleeding disorders or on anticoagulant therapy.
- •Preoperative decision to do peripartum hysterectomy.
结局指标
主要结局
Amount of blood loss (mL)
时间窗: 24 hours
次要结局
未报告次要终点
