Placenta Previa Clinical Trial
Official title:
The Cervix as a Natural Tamponade in Postpartum Hemorrhage Caused by Placenta Previa and Placenta Previa Accreta: a Prospective Study
Placenta previa and placenta accrete carry significant maternal and fetal morbidity and mortality. Several techniques have been described in the literature for controlling massive bleeding associated with placenta previa cesarean sections. The aim of this study is to evaluate the efficacy and safety of the use of the cervix as a natural tamponade in controlling postpartum hemorrhage caused by placenta previa and placenta previa accreta.
Background: Placenta previa and placenta accrete carry significant maternal and fetal
morbidity and mortality. The maternal mortality in women with placenta accreta may reach as
high as 7-10%. Several techniques have been described in the literature for controlling
massive bleeding associated with placenta previa cesarean sections, including uterine
packing with gauze, balloon tamponades, the B-Lynch suture, insertion of parallel vertical
compression sutures, a square suturing technique and embolization or ligation of the uterine
and internal iliac arteries, but there is a wide variation in the success rate of these
maneuvers. In a case report, Dawlatly et al. (2007) described a simple technique of suturing
an inverted lip of the cervix over the bleeding placental bed that was successful in
controlling the bleeding, saving the patient's life, and preserving her uterus.
The objective of this trial is to evaluate the safety and efficacy of the use of this
Dawlatly stitch as a natural tamponade for controlling postpartum haemorrhage in cases of
placenta previa and/ or placenta previa accreta.
;
Primary Purpose: Treatment
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