Conservative Surgical Novel Technique of Placenta Accreta in Menoufia University Hospital
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 60
- 试验地点
- 4
- 主要终点
- Outcome variables: Need for conversion to hysterectomy.
研究概览
简要总结
Evaluation of maternal morbidity and mortality of our novel surgical procedure for conservative management of placenta accreta in our tertiary referral institute.
详细描述
A descripative cohort study which included 60 pregnant women recuirted from Obstetrics and Gynecology Department, Menoufia University Hospital and diagnosed as placenta previa accreta.
• Ethical considerations: Ethics: The study was approved by Ethical Committee of Menoufia Faculty of Medicine.
Consent: after explanation of surgical procedure of the study, an informed written consent was obtained from all cases included in this study.
Sample size: (No= 60) Based on previous studies regarding MAP, The incidence of placenta accreta = 1/2500 , so the calculated sample size for this study was 59 which to be around 60 with confidence level 95% margin of error 5% (Pliskow S et al., 2009).
Inclusion criteria:
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 40 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •1- Age between 20 - 40 years old. 2- Gestational age between 28 - 38 weeks. 3- Any patient diagnosed as placenta previa with ultrasound criteria of accretion.
- •Criteria of accretion by Colour Doppler ultrasound include: (Berkley et al., 2013).
- •The presence of irregular shaped placental lacunae within the placenta.
- •Thinning of myometrium overlying the placenta.
- •Absence of retroplacental 'non-lucent line'.
- •Protrusion of the placenta into the bladder.
- •Increased vascularity of the uterine serosa-bladder interface.
- •Turbulent blood flow through the lacunae on Doppler ultrasonography.
排除标准
- 未提供
结局指标
主要结局
Outcome variables: Need for conversion to hysterectomy.
时间窗: 30- 90 minutes
control of bleeding and need for removal of uterus.
Blood Loss.
时间窗: During operation and 24 hours postpartum.
Amount of blood loss ,Number of packed red blood cells and blood products transfusion.
次要结局
- Intraoperative complications(During operation and postpartum period.)
研究者
Dr Hamed Ellakwa
Professor Hamed Ellakwa
Menoufia Obstetrics and Gynecology Group