Uterine Preservation in the Management of Placenta Accreta Spectrum Disorders
NCT06512181 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 15
Last updated 2026-05-11
Summary
This study for the conservative management of placenta accreta spectrum disorders (PAS), which are a major cause of maternal morbidity and mortality. The most common management strategy for PAS in the United States is a preterm cesarean-hysterectomy. However, accumulating data show that conservative management is safer and is preferred by some patients. In selected participants (n=15) who desire uterine preservation, the investigators provide the option of conservative management, which will be defined as leaving the placenta in the uterus after delivery of the infant. This is a single-arm single-site pilot study where all participants will be carefully monitored during a standard postpartum inpatient stay and with outpatient follow-up until the uterus is empty.
Conditions
- Placenta Accreta Spectrum
Interventions
- OTHER
-
Conservative/Expectant Management
At time of caesarean section, participants will not have a hysterectomy, but will be treated clinically to preserve their uterus.
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
Beth Pineles, MD PhD · University of Pennsylvania
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-04-21
- Primary Completion
- 2030-09-01
- Completion
- 2030-12-31
Countries
- United States
Study Locations
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