Surgical Technique To Control Postpartum Hemorrhage

Post Partum Hemorrhage Clinical Trial

Official title:

New Surgical Technique To Control Postpartum Hemorrhage Due To Placenta Accreta

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03241849
• Other study ID #: STPPGE
• Status: Completed
• Phase: N/A
• Start date: August 1, 2017
• Est. completion date: February 1, 2020

Study information

• Verified date: June 2020
• Source: Assiut University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Placenta accreta is an obstetrical complication where the placenta becomes firmly adherent to the uterine wall. Placenta accreta can lead to considerable maternal morbidity and mortality due to hemorrhage, infection, or other surgical complications such as those resulting from hysterectomy. Retained placenta accreta is usually a rare condition, but its prevalence is increasing due to the rise in the rate of deliveries by Cesarean section.

Placenta accreta is a potentially life-threatening obstetric condition that requires a multidisciplinary approach to management. The incidence of placenta accreta has increased and seems to parallel the increasing cesarean delivery rate. Women at greatest risk of placenta accreta are those who have myometrial damage caused by a previous cesarean delivery with either an anterior or posterior placenta previa overlying the uterine scar. Diagnosis of placenta accreta before delivery allows multidisciplinary planning in an attempt to minimize potential maternal or neonatal morbidity and mortality.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 110
• Est. completion date: February 1, 2020
• Est. primary completion date: January 1, 2020
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 20 Years to 40 Years

Eligibility

Inclusion Criteria:

1. Estimated gestational age between 34 -40 weeks .

2. Presence of total or focal parts of placenta accreta "morbidly adherent placenta" .

3. Cases with mild vaginal bleeding or not having any vaginal bleeding

Exclusion Criteria:

1. Severe attack of bleeding require an immediate intervention.

2. Associated with placental abruption

3. Patients with known bleeding disorders or on anticoagulant therapy.

4. Preoperative decision to do peripartum hysterectomy.

Related Conditions & MeSH terms

• Hemorrhage
• Post Partum Hemorrhage
• Postpartum Hemorrhage

Intervention

Procedure:
• Modified surgical technique for placenta accreta
suturing of the myometrium splitted by the placenta in cases presented by placenta accreta

Locations

Country	Name	City	State
Egypt	Women Health Hospital - Assiut university	Assiut

Sponsors (1)

Lead Sponsor	Collaborator
Assiut University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Amount of blood loss (mL)		24 hours