Paracervical Pouch Significance in Placenta Accreta Spectrum
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 190
- 试验地点
- 1
- 主要终点
- blood transfusion
研究概览
简要总结
The study objective is the significance of the ultrasound detection of the paracervical pouch in placenta accreta spectrum. It aimed to evaluate its relation to the degree of placenta accreta spectrum, amount of the blood loss and the number of packed red blood cells transfused.
详细描述
The study will be carried on patients diagnosed with placenta previa or placenta accreta spectrum and had at least one caesarean section. The study will be divided into 2 groups of 70 patients at least per each. The first group will include patients in whom a paracervical pouch is detected, and the second group will include patients in whom the pouch is not detected by transvaginal ultrasound.
paracervical pouch is defined ultrasonographic as the downward displacement of the uterine serosa from the level of the cervical internal os
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 19 Years 至 40 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •• Patients between 19 to 40 years old
- •Patients had at least one cesarean section.
排除标准
- •• Patients who request hysterectomy.
- •Patients diagnosed with hepatitis B, C, or HIV,
- •Those with bleeding diathesis.
- •Patients whose BMI is more than 40 kg/m
- •Patients who need an emergency cesarean section.
结局指标
主要结局
blood transfusion
时间窗: intraoperative and 24 hours postoperative
the amount of packed red blood cell, fresh frozen plasma and platelets transfused in both groups.
internal iliac artery ligation
时间窗: intraoperative
the rate of internal iliac artery ligation in both groups.
Intensive care unit admission
时间窗: postoperative for 5 days
the number of patients admitted to the intensive care unit and the duration of their stay.
hospital stays
时间窗: postoperative for 1 month
the duration of hospital stays after the operation.
the rate of intraoperative diagnosis of placenta accreta spectrum
时间窗: intraoperative
the number of patients diagnosed intraoperatively with placenta accreta spectrum according to international federation of obstetrics and gynecology in both groups.
calculated amount of blood loss
时间窗: intraoperative and 24 hours postoperative
the total amount blood lost intraoperatively in millilitres.
the presence of intraoperative pouch
时间窗: intraoperative
the detection of an intraoperative paracervical pouch grossly.
rate of hysterectomy
时间窗: intraoperative till 40 days postoperative
the percentage of cases had hysterectomy in both groups.
次要结局
- total operation time(intraoperative)
- preoperative hemoglobin levels in gm/dl(24 hours before the operation)
- rate of uterine wall disruption(intraoperative)
- postoperative hemoglobin levels in gm/dl(6 hours postoperative)
- repair time(intraoperative)
研究者
Omar elshorbagy
lecturer in obstetrics and gynecology, faculty of medicine
Alexandria University