Conservative Management for PAS Pilot
NCT05139498 · Status: ACTIVE_NOT_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 4
Last updated 2026-04-15
Summary
Conservative in situ management is a promising alternative treatment to hysterectomy for patients with placenta accreta spectrum and may be safer and preferable for some patients. This study will assess feasibility of a future randomized clinical trial comparing these treatments and provide novel data to inform shared decision-making and cost-effective care for patients with this deadly pregnancy disorder.
Conditions
- Placenta Accreta
Interventions
- PROCEDURE
-
Conservative management for placenta accreta spectrum (PAS)
Subjects who are randomized to to conservative management will undergo a cesarean delivery followed by a period of close observation in the operating room for 30-45 minutes to be sure there is no excessive bleeding or risk to keep the placenta inside
- PROCEDURE
-
Cesarean hysterectomy for placenta accreta spectrum (PAS)
Subjects who are randomized to cesarean hysterectomy will undergo a cesarean delivery followed immediately by hysterectomy to remove the placenta and uterus together
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
Brett Einerson, MD · University of Utah
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 99 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-05-26
- Primary Completion
- 2026-01-26
- Completion
- 2027-06-30
Countries
- United States
Study Locations
More Related Trials
-
Comparison of Bladder Filling vs. Non-Filling in Cesarean Hysterectomy for Placenta Percreta
NCT04210479 ·Status: UNKNOWN ·Phase: NA
-
Conservative Management of Placenta Accreta Spectrum
NCT06253832 ·Status: COMPLETED ·Phase: NA
-
Early vs Late Bladder Dissection During CS Hysterectomy in Patients With PAS With Bladder Invasion
NCT05752513 ·Status: UNKNOWN ·Phase: NA
-
Cervical Internal os Plasty in Management of Placenta Previa and Focal Accreta
NCT05560984 ·Status: UNKNOWN ·Phase: NA
-
Pelvic Congestion Syndrome Post Tubal Ligation Versus Salpingectomy Performed During Caesarean Section
NCT06509425 ·Status: RECRUITING ·Phase: NA
-
Transvaginal Sacrospinous Hysteropexy Versus Laparoscopic Uterine Lateral Suspension
NCT05586984 ·Status: RECRUITING
-
Patient-Centered Outcomes in the Surgical Treatment of Uterovaginal Prolapse
NCT05063331 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Placenta Accreta Spectrum Management: Uterine Preservation Using JSICA Technique - Retrospective Cross-Sectional Study
NCT05871645 ·Status: COMPLETED ·Phase: NA
-
Prophylactic Occlusion Balloons of Both Internal Iliac Arteries in Caesarean Hysterectomy for PASD
NCT06356493 ·Status: COMPLETED
-
Clinical Predictive Factors of Success of Hysteroscopic Endometrial Ablation/Resection
NCT05483348 ·Status: COMPLETED
-
Perioperative Outcomes of Common Methods of Minimally Invasive Contained Tissue Extraction
NCT02496130 ·Status: COMPLETED
-
Does Preventive Uterine Artery Occlusion During Laparoscopic Myomectomy Impact on Ovarian Reserve Markers?
NCT02563392 ·Status: COMPLETED ·Phase: NA
-
Laparoscopic Supracervical Hysterectomy and Sacropexy Versus Hysteropexy Study
NCT02345954 ·Status: UNKNOWN ·Phase: NA
-
Reproductive Outcomes Following Uterine Septum Resection
NCT05139446 ·Status: COMPLETED
-
Tourniquet Reduces Blood Loss in Postpartum Hemorrhage During Hysterectomy for Placenta Accreta
NCT03707132 ·Status: COMPLETED
-
Effect of Lower Pneumoperitoneum Pressure During Laparoscopic and Robotic Hysterectomy
NCT04125173 ·Status: COMPLETED ·Phase: NA
-
Retroperitoneal Ligation of Uterine Artery in Total Laparoscopic Hysterectomy for Enlarged Uterus
NCT03101098 ·Status: SUSPENDED ·Phase: NA
-
Abdominal Versus Vaginal Hysteropexy
NCT03494582 ·Status: COMPLETED ·Phase: NA
-
Analgesic Effect of Pulmonary Recruitment and Intraperitoneal Hydrocortisone in Laparoscopic Gynecological Surgery
NCT03845608 ·Status: UNKNOWN ·Phase: PHASE4
-
Effectiveness of Perineorrhaphy in Pelvic Organ Prolapse Surgery
NCT07006129 ·Status: COMPLETED
-
Uterine Rupture After Hysteroscopic Septum Resection
NCT04449640 ·Status: COMPLETED
-
Study of Uterine Prolapse Procedures - Randomized Trial
NCT01802281 ·Status: COMPLETED ·Phase: NA
-
Hysteroscopic Surgery; Retrospective Cross-sectional Study of Reproductive Outcome
NCT05560295 ·Status: COMPLETED
-
Surgical Approach to Uterine Septum
NCT06315582 ·Status: RECRUITING ·Phase: NA
-
Surgical Success After Laparoscopic vs Abdominal Hysterectomy
NCT01793584 ·Status: COMPLETED ·Phase: NA