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Could Colour Dopper Improve the Diagnosis of Retained Placental Fragments After Second Trimester Miscarriage ?

Conditions
Miscarriage
Registration Number
NCT02419300
Lead Sponsor
Ain Shams University
Brief Summary

Value of pelvi- abdominal ultrasound and Doppler in diagnosis of retained products of conception after second trimester miscarriage to select who will benefit from surgical evacuations or conservative management.

Detailed Description

This is a study for diagnostic accuracy test where all patients will undergo US and Doppler examination after second trimester miscarriage. Then all patients with endometrial mass on US will undergo colour Doppler then surgical evacuation and results of histopathology will be recorded.

Now, pathological examination of suction evacuation products is considered the gold standard so sensitivity, specificity, PPV and NPV of US and Doppler are the primary outcome

Recruitment & Eligibility

Status
UNKNOWN
Sex
Female
Target Recruitment
82
Inclusion Criteria
  • Pregnancy duration: early mid-trimester from 14 to 20 weeks
  • Endometrial mass upon ultrasound examination after second trimesteric miscarriage
Exclusion Criteria
  • Uterine congenital anomaly
  • Patients with signs of sepsis.
  • Negative scan after second trimesteric miscarriage

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Sensitivity, specificity, PPV and NPV of Doppler in diagnosis of retained placental fragments after second trimester miscarriage60 minutes after delivery

All patients with endometrial mass after spontineous or medical miscarriage will undergo colour Doppler examination within 1 hour of miscarriage

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Faculty of Medicine, Ain Shams University

🇪🇬

Cairo, Al Qahirah, Egypt

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