Ultrasound Staging in the Placenta Accreta

Not Applicable

Completed

• Conditions: Obstetric Labor Complications; Staging of Placental Invasion
• Interventions: Device: Ultrasound

• Registration Number: NCT04253197
• Lead Sponsor: Beni-Suef University

Brief Summary

The investigators evaluated the efficacy of a staging system introduced by the American Institute of ultrasound in medicine 2015 including sonographic parameters associated with morbidly adherent placenta for antenatal prediction of placental invasion.

Detailed Description

Morbidly adherent placenta (MAP) defines a spectrum of conditions, including placenta accreta, increta, and percreta, which are associated with significant maternal and fetal morbidity and mortality. Ultrasound evaluation, with grayscale, is the recommended first-line modality for diagnosing MAP. Grayscale ultrasound features suggestive of placenta accreta include the loss of myometrial interface or retroplacental clear space, reduced myometrial thickness and the presence of intraplacental lacunae. Using a staging system by antenatal ultrasound can predict placental invasion antenatally.

Study Timeline

• Study Start: 2017-03-14
• Primary Completion: 2019-07-20
• Study Completion: 2019-12-25
• Status Verified: 2020-01
• Study First Submitted: 2020-01-30
• Study First Submitted QC: 2020-01-31
• Last Update Submitted: 2020-01-31
• Study First Posted: 2020-02-05
• Last Update Posted: 2020-02-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 75

Inclusion Criteria

• Prior lower segment cesarean section
• Low lying anterior placenta
• Singleton pregnancy

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Exclusion Criteria

• Medical disorders
• vasa previa

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Morbidly adherent placenta	Ultrasound	This arm was given stage according to ultrasound features.

Primary Outcome Measures

Name	Time	Method
Confirmation of the stage of myometrial placental invasion	1 hour	By ultrasound, placental invasion in myometrium was given a stage

Secondary Outcome Measures

Name	Time	Method
Blood loss	1 hour	Documentation of complications intraoperative

Trial Locations

Locations (1)

Beni-Suef University; 🇪🇬 Cairo, Egypt