Health Status and Quality of Life in Postpartum Women With Placenta Accrete Spectrum.
试验速览
- 阶段
- 不适用
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- Assess quality of life in patients had placenta accrete spectrum 6-8 weeks postpartum
研究概览
简要总结
- The objective of this study is to provide an overview of the core domains (physical,psychological,social) of quality of life and health state in postpartum women after the placenta accrete spectrum.
- to assess which factors are associated with quality of life and health state domains postpartum.
详细描述
The morbidly adherent placenta is abnormally adherent placenta to myometrium due to the absence of decidua basalis partially or totally in a way that prevents normal placental separation after delivery.
MAP includes a spectrum classified according to the extend of trophoblastic invasion to myometrium into (accrete, increta, percreta).
The greatest risk factor is previous uterine surgery mostly previous caesarian sections.
In the last decade incidence of placenta accrete spectrum has increased in direct proportion with increased rates of cesarean sections up to 1 per 500 pregnancies.
This rising incidence makes placenta accrete spectrum (PAS)one of the most serious problems in obstetrics with a high rate of complications peripartum and postpartum as well like (peripartum hysterectomy - intestinal injure- bladder injure - ureteral injure - ICU admission- massive blood transfusion) that may affect patients health outcome and their quality of life.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •1-Confirmed diagnosis of MAP. 2-Termination of pregnancy after 36 weeks gestation 3-Peripartum hysterectomy for MAP. 4- Complicated CS without hysterectomy 5-Maternal age between 18 and 45 yrs 6-No other medical diseases
排除标准
- •Emergency CS before confirming MAP diagnosis.
- •Preterm delivery (before 36 weeks in case of MAP)
- •.peripartum hysterectomy for any cause other than MAP
- •Other medical diseases that affect the quality of life
- •Postpartum depression.
结局指标
主要结局
Assess quality of life in patients had placenta accrete spectrum 6-8 weeks postpartum
时间窗: Baseline
Use of SF-36 survey to assess quality of life in women had placenta accrete spectrum 6-8 weeks postpartum
patients had placenta accrete spectrum 6-8 weeks postpartum
时间窗: Baseline
Use of WHOQOL-bref scoring to assess quality of life in women had placenta accrete spectrum 6-8 weeks postpartum
次要结局
未报告次要终点
研究者
Beshoy Atef Mounir Rizk
Resident doctor
Assiut University