Risk Factors for Occurrence of Placenta Accrete Spectrum Following Primary Cesarean Delivery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- association between indication of primary Cesarean delivery and degree of severity of placenta accreta spectrum
研究概览
简要总结
This study will be conducted on a group of patients undergoing repeat elective caesarean delivery attending at Mansoura university hospital.
- This study will investigate patients' attending to the antenatal care clinic for elective termination of pregnancy with history of previous one caesarean delivery in the period between (January 2020 till January 2021).
详细描述
Participants in this study will be a group of patients with past history of previous one caesarean delivery and attending for elective termination of the current pregnancy.
Patients data will be collected and analysed as following:
- Personal data: Age, residency, job, special habits, BMI
- Past obstetric history:
Gravidity, parity, full term normal delivery, full term assisted vaginal deliveries, preterm, stillbirth, abortion, previous pregnancy complication and complication during puerperium • Previous delivery: Indication, duration, place of delivery, results of delivery, complication during labour, complication during puerperium
- Past medical, surgical or gynaecological history
- Pregnancy by assisted reproductive techniques
- Current pregnancy complications
- Trans abdominal and trans vaginal ultrasound examination Patients will be considered to have placenta praevia if the lower edge of the placenta is less than 2 cm form the internal os of the cervix
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 40 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Patients with history of previous one caesarean delivery
- •Patients who refused trail of vaginal birth after caesarean section
- •Patients with permanent indication for caesarean section like contracted pelvis
- •Patient without any history of medical diseases
排除标准
- •Patients with history of more than one previous caesarean delivery
- •Patients with medical disorders complicating pregnancy kike preeclampsia and gestational diabetes mellitus
- •Patients with known uterine abnormalities eg (Bicornuate uterus, Adenomyosis, Submucous fibroids and Myotonic dystrophy)
- •Patients who are candidates for vaginal birth after caesarean section
结局指标
主要结局
association between indication of primary Cesarean delivery and degree of severity of placenta accreta spectrum
时间窗: 1 day
association between indication of primary Cesarean delivery and degree of severity of placenta accreta spectrum
次要结局
- the association between parity, gravidity, place of the primary Cesarean delivery, assisted conception, and vaginal delivery before and after the primary Cesarean delivery,postpartum complications and degree of placenta accreta spectrum(1 week)
研究者
Mohamed Taman
lecturer
Mansoura University Hospital