Uterine Artery Ligation to Minimize Blood Loss in Patients With Central Placenta Previa
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Placenta Previa Without Hemorrhage
- Sponsor
- Minia Maternity University Hospital
- Enrollment
- 52
- Locations
- 1
- Primary Endpoint
- Changes in hemoglobin level
- Status
- Completed
- Last Updated
- 10 years ago
Overview
Brief Summary
This trial will address the effect of uterine artery ligation during Cesarean section in cases with placenta previa to decrease blood loss.
Detailed Description
This Study will address the effect of uterine artery ligation prior to fetal delivery during Cesarean section in cases with central placenta previa to guard against postpartum hemorrhage and to minimize blood loss.
Investigators
Ahmad Sameer Sanad
Assistant Professor
Minia Maternity University Hospital
Eligibility Criteria
Inclusion Criteria
- •Placenta previa is diagnosed when the lowest placental edge is located within 5 cm of the internal os at ultrasound
- •Symptomatic Placenta previa with at least one episode of bleeding
- •Estimated gestational age within 28 to 40 weeks
- •Maternal age \> 18 years
- •Informed consent
- •Social affiliation
Exclusion Criteria
- •Premature rupture of membranes
- •Severe bleeding.
- •Abnormal fetal heart rates.
- •Pre-eclampsia, chorioamnionitis, severe chronic renal disease.
Outcomes
Primary Outcomes
Changes in hemoglobin level
Time Frame: hemoglobin level will be done baseline and will be repeated 24 hours after delivery
Changes in hemoglobin level before and after CS will reflect the amount of blood loss during operation
Secondary Outcomes
- Degree of uterine contractility.(During CS and within 3 hours after CS)