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Uterine Artery Ligation to Decrease Blood Loss With Central Placenta Previa

Not Applicable
Completed
Conditions
Placenta Previa Without Hemorrhage
Interventions
Procedure: Uterine artery ligation
Registration Number
NCT02002026
Lead Sponsor
Minia Maternity University Hospital
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.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
52
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.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Ligation groupUterine artery ligationUterine artery ligation will be done for patients in this group
Control groupUterine artery ligationConventional CS
Primary Outcome Measures
NameTimeMethod
Changes in hemoglobin levelhemoglobin 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 Outcome Measures
NameTimeMethod
Degree of uterine contractility.During CS and within 3 hours after CS

Trial Locations

Locations (1)

Minia Maternity University Hospital

🇪🇬

Minia, Egypt

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