Placenta Accreta / Percreta Clinical Trial
— PaccretaOfficial title:
Clinical Situations at High Risk of Placenta Accreta / Percreta: Impact of Diagnostic Methods and Management on Maternal Morbidity.
Verified date | December 2017 |
Source | Assistance Publique - Hôpitaux de Paris |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
The purpose of this study is to identify what factors -either individual or related to the
type of management received- influence the maternal outcomes in pregnant women at high risk
for placenta accreta i.e , women with placenta praevia and previous caesarean.
This population-based study conducted in 8 French regions will also provide valid estimation
of the incidence of placenta accreta among all parturients and among "at risk "women.
Finally, a psychological evaluation of these women up to 1 year after delivery will provide
information on the impact of these conditions on women, beyond somatic complications.
Status | Completed |
Enrollment | 674 |
Est. completion date | August 31, 2017 |
Est. primary completion date | November 30, 2016 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: Every woman: - delivering in a maternity unit of the 11 participating perinatal networks. - With a placenta praevia and at least one previous cesarean delivery, and / or having a placenta accreta - aged 18 or more Exclusion Criteria: Every woman: - not understanding French. - refusing to participate in the study. |
Country | Name | City | State |
---|---|---|---|
France | Hôpital Louis Mourier (APHP) | Colombes |
Lead Sponsor | Collaborator |
---|---|
Assistance Publique - Hôpitaux de Paris | Inserm U953 (Epidemiological research unit on perinatal health and women's and children's health) Paris, France, University Hospital, Angers |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Severe postpartum hemorrhage | Severe hemorrhage defined by a hemorrhage with transfusion of at least four red blood cell units. | up to 7 days post delivery | |
Secondary | Incidence of accreta or percreta placenta overall and in women with previous caesarean section and placenta praevia | Number of women with placenta accreta divided 1)by the number of parturient women, and 2) by the number of women with previous caesarean section and placenta praevia | At delivery | |
Secondary | Predictive value of prenatal ultrasound and MRI for the diagnosis of placenta accreta in women with previous caesarean section and placenta praevia | Sensitivity, specificity and positive and negative predictive values. | at delivery | |
Secondary | severe maternal morbidity | haemorrhage, infection, intraoperative and postoperative complications, thromboembolic complications. | up to 6 months post-delivery | |
Secondary | Psychological impact | All the women will receive several validated auto-questionnaires (postpartum depression, anxiety, post-traumatic stress). | at 1 year post-delivery | |
Secondary | Psychological impact | All the women will receive several validated auto-questionnaires (postpartum depression, anxiety, post-traumatic stress) | at 1 month post-delivery | |
Secondary | Psychological impact | All the women will receive several validated auto-questionnaires (postpartum depression, anxiety, post-traumatic stress) | at 6 month post-delivery |