MedTrace Logo

Effectivness of Conservative Techniques in Management of PAS

NCT05104177 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 80

Last updated 2021-11-09

No results posted yet for this study

Summary

To evaluate the effectiveness of conservative techniques for placenta accreta spectrum to reduce maternal mortality and morbidity

Conditions

  • Placenta Accreta

Interventions

PROCEDURE

conservative tecchniques in management of PAS

Meticulous complete dissection of the urinary bladder from the lower uterine segment. * Transverse uterine incision above the visible vascular bulge if visible in cases with anterior PAS, otherwise a transverse lower uterine segment incision is performed in the same site of previous CS scar. * Delivery of the baby, clamping of the cord and administration IV 10 IU oxytocin. * Bilateral uterine artery ligation at one or two levels below the lowermost part of the placenta. * Removal of the separable part of the placenta from above downwards, until the adherent part is encountered. * A decision is taken to either resect a wedge of the myometrium above the adherent placenta (in case the adherent area is small and anterior), or removing all the adherent placenta then inserting a rubber or plastic catheter inside the cervical canal then identifying and closing the placental pouch. Care is given to rapidly perform this step to decrease the blood loss after removing the placenta

Sponsors & Collaborators

  • Assiut University

    lead OTHER

Eligibility

Min Age
19 Years
Max Age
50 Years
Sex
FEMALE
Healthy Volunteers
No

Timeline & Regulatory

Start
2021-11-30
Primary Completion
2022-11-30
Completion
2022-12-31

More Related Trials

Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT05104177 on ClinicalTrials.gov