Evaluation of Clinical Outcomes and Acceptability of an Anatomical Classification for Placenta Accreta Spectrum
NCT07283042 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 60
Last updated 2026-01-16
Summary
This study evaluates the clinical implementation of intra-operative topographic classification system for PAS. In addition to a standard of care risk stratification prenatal ultrasound for patients with a risk of PAS, this study adds an additional intraoperative surgical staging protocol to validate the classification system, improve surgical approach, and significantly clinical outcomes of pregnant people with an a prior risk of PAS. The study will involve pregnant patients with PAS risk factor, include data collection spanning prenatal assessment, intraoperative classification, surgical technique implementation and postoperative analysis. The anticipated study duration is approximately 36-48 months.
Conditions
- Placenta Accreta
Interventions
- PROCEDURE
-
Total Hysterectomy
Removal of entire uterus
- PROCEDURE
-
Modified subtotal hysterectomy
When partial tissue integrity is preserved
- PROCEDURE
-
One-Step Conservative Surgery
Considered when significant healthy myometrium is preserved
Sponsors & Collaborators
-
University of California, Los Angeles
lead OTHER
Principal Investigators
-
Yalda Afshar, MD, PhD · University of California, Los Angeles
Eligibility
- Min Age
- 18 Years
- Max Age
- 55 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-12-01
- Primary Completion
- 2027-12-31
- Completion
- 2028-12-31
Countries
- United States
Study Locations
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