Skip to main content
OpenTrials
Completed

NCT Number: NCT03241849

Surgical Technique To Control Postpartum Hemorrhage

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.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Post Partum Hemorrhage Female Urogenital Diseases and Pregnancy Complications Hemorrhage Obstetric Labor Complications Pathologic Processes Pathological Conditions, Signs and Symptoms Postpartum Hemorrhage Pregnancy Complications Puerperal Disorders Urogenital Diseases Uterine Hemorrhage

Age range

20 year–40 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Women Health Hospital - Assiut university

Asyut, 71111, Egypt

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Estimated gestational age between 34 -40 weeks .
  • Presence of total or focal parts of placenta accreta "morbidly adherent placenta" .
  • Cases with mild vaginal bleeding or not having any vaginal bleeding

Exclusion criteria

  • Severe attack of bleeding require an immediate intervention.
  • Associated with placental abruption
  • Patients with known bleeding disorders or on anticoagulant therapy.
  • Preoperative decision to do peripartum hysterectomy.

Treatment and study plan

Modified surgical technique for placenta accreta

Procedure

suturing of the myometrium splitted by the placenta in cases presented by placenta accreta

Primary outcomes

  1. Amount of blood loss (mL)

    Time frame: 24 hours

Sponsors and collaborators

Lead sponsor

Assiut University

Other

Registry information

Official study title

New Surgical Technique To Control Postpartum Hemorrhage Due To Placenta Accreta

Important dates

Study start
2017
Primary completion
2020
Study completion
2020
First posted
Aug 8, 2017
Registry last updated
Jun 23, 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.

Related clinical trials

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