Early Prediction of Placenta Accreta by Ultrasound and Color Doppler

Placenta accreta is a substantially life threatening condition and one of the causes of maternal morbidity and mortality in the world. According to study done in United Kingdom, The estimated incidence of placenta accreta/increta/percreta was 1.7 per 10,000 maternities overall and 577 per 10,000 in women with both a previous cesarean delivery and placenta previa. in a tertiary south Italian center, The incidence increased from 0.12% during the 1970s, to 0.31% during the 2000s.While in United States of America, the prevalence of placenta accreta was 3.7 per 1000 deliveries.

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Key information

Conditions

Placenta Accreta Female Urogenital Diseases and Pregnancy Complications Obstetric Labor Complications Placenta Diseases Pregnancy Complications Urogenital Diseases

Sex eligibility

Female

Study type

Observational

Primary location

Assiut University

Asyut, Egypt

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Low implantation of the gestational sac (<4 cm from external os) by transvaginal ultrasound
Presence of placental lakes by transvaginal ultrasound
Disruption of placental-myometrial interface by transvaginal ultrasound
Trophoblast overlapping a uterine scar (Cesarean section, myomectomy) by transvaginal ultrasound
Intraplacental dilated vessels by Doppler ultrasound
Turbulent blood flows by Doppler ultrasound
Greatly increased periplacental vascularity by Doppler ultrasound

Exclusion criteria

a) Cases far away from our hospital and expected to be lost to be followed. b) Pregnant women who will refuse to Participate

Treatment and study plan

two-dimensional ultrasound and color Doppler

Device

the eligible participants will be searched for signs suggestive of placenta accreta; low implantation of the gestational sac (<4cm from the external os), presence of placental lakes, Disruption of placental-myometrial interface and trophoblast overlapping a uterine scar by 2 dimensional transvaginal ultrasound and Intraplacental dilated vessels, turbulent blood flows and greatly increased periplacental vascularity by Doppler ultrasound by level II sonographer and co-investigator under his supervision using ultrasound device.

Primary outcomes

Confirmation of occurrence of placenta accreta during delivery.

Time frame: duration of pregnancy

Sponsors and collaborators

Lead sponsor

Assiut University

Other

Registry information

Official study title

Early Prediction of Placenta Accreta by 2 Dimensional Transvaginal Ultrasound and Color Doppler

Important dates

Study start: 2017
Primary completion: 2019
Study completion: 2020
First posted: Jan 26, 2017
Registry last updated: May 13, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

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