Total Placenta Previa Associated With the Placenta Accreta Spectrum.

Summary

To assess the reliability of placental magnetic resonance imaging measurements in predicting peripartum hysterectomy and neonatal outcomes in patients with total placenta previa.

Conditions

• Maternal; Procedure

Interventions

PROCEDURE

Peripartum total abdominal hysterectomy (p-TAH)

Peripartum total abdominal hysterectomy (cesarean hysterectomy) refers to a surgical procedure in which a woman undergoes both a cesarean section (C-section) and a hysterectomy simultaneously. Placenta Accreta, Increta, or Percreta: These are conditions where the placenta attaches too deeply to the uterine wall. In cases of severe attachment, it may be difficult to remove the placenta without causing excessive bleeding, and a hysterectomy may be required. Cesarean hysterectomy is a major surgical procedure involving significant medical expertise and coordination among healthcare professionals, including obstetricians and surgeons. The decision to perform a cesarean hysterectomy is usually made in emergency situations to address life-threatening complications.

PROCEDURE

Cesarean Section (C/S)

A cesarean section (C/S) involves making an incision in the abdominal wall and uterus to deliver a baby when a vaginal delivery is not feasible or safe. Total placenta previa refers to a condition where the placenta completely covers the opening of the cervix in the uterus. This condition can pose significant risks during pregnancy and childbirth, and it often necessitates a planned cesarean section (C/S) for delivery.

OTHER

Neonatal mortality

Neonatal mortality refers to the death of a newborn within the first 28 days of life. This period is divided into early neonatal mortality, which covers the first seven days of life, and late neonatal mortality, which extends from the eighth to the 28th day. Neonatal mortality is a critical measure of the health and well-being of infants and is often used to assess a population's overall health and healthcare systems. To reduce neonatal mortality, efforts are made to improve maternal healthcare, access to prenatal care, skilled attendance during childbirth, and the availability of neonatal healthcare services. Tracking and addressing factors contributing to neonatal mortality are crucial for improving the chances of survival of newborns and overall health outcomes.

Sponsors & Collaborators

• Saglik Bilimleri Universitesi Gazi Yasargil Training and Research Hospital

  lead OTHER

Principal Investigators

• Sadık Kükrer · SBU Adana Training and Research Hospital, Department of Obstetrics and Gynecology, Adana, Turkey

• Sefa Arlıer · SBU Adana Training and Research Hospital, Department of Obstetrics and Gynecology, Adana, Turkey

• Okan Dilek · SBU Adana Training and Research Hospital, Department of Radiology, Adana, Turkey

• Çağrı Gülümser · Yuksek Ihtisas University, Department of Obstetrics and Gynecology, Ankara, Turkey

• Işıl Adıgüzel · SBU Adana Training and Research Hospital, Department of Obstetrics and Gynecology, Adana, Turkey

Study Design

Allocation

RANDOMIZED

Purpose

DIAGNOSTIC

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

17 Years

Max Age

42 Years

Sex

FEMALE

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2017-11-01

Primary Completion

2023-06-21

Completion

2023-06-30

Countries

• Turkey (Türkiye)

Study Locations