the Treatment of Postpartum Hemorrhage Due to Placenta Previa Complete Centralis
NCT ID: NCT02157441
Last Updated: 2015-10-14
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
PHASE2/PHASE3
50 participants
INTERVENTIONAL
2012-07-31
2015-09-30
Brief Summary
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Detailed Description
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All patients provide written informed consent to undergo any procedure necessary, including lower uterine compression suturing procedure, as an attempt to avoid hysterectomy. They also provide written informed consent to undergo hysterectomy if all measures attempted to preserve the uterus fail.
All patients have placenta previa (50). The inclusion criteria are a gestation age of ≥ 28 weeks and antepartum hemorrhage; intraoperative postpartum hemorrhage and discovery of a placenta accreta; and an adherent placental part after piecemeal removal of the placenta, with bleeding from the placental site, posterior placenta previa and/or successful piecemeal removal of the placenta.
The first author performed all cesarean deliveries and assisted by the second author. We open the parietal peritoneum by sharp dissection and blunt expansion, high above the bladder, a bladder flap is made and the bladder is retracted. A small median transverse hysterotomy incision is done in the lower uterine segment. It is expanded on both sides using scissors, stopping shortly before the uterine arteries. Active delivery of the placenta is attempted by searching manually for a plane of cleavage between the placenta and the uterus after delivery of the fetus. The study technique comprise lower uterine compression sutures (involved bilateral uterine artery ligation and compression of the lower uterine segment at the same time with one circular stitch).
Conditions
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Study Design
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NA
SINGLE_GROUP
TREATMENT
NONE
Study Groups
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all patients
intervention is lower uterine compression sutures (involved bilateral uterine artery ligation and compression of the lower uterine segment at the same time with one circular stitch) as a conservative treatment for the treatment of postpartum hemorrhage in women with placenta previa complete centralis.
lower uterine compression sutures
intervention is lower uterine compression sutures (involved bilateral uterine artery ligation and compression of the lower uterine segment at the same time with one circular stitch) as a conservative treatment for the treatment of postpartum hemorrhage in women with placenta previa complete centralis.
Interventions
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lower uterine compression sutures
intervention is lower uterine compression sutures (involved bilateral uterine artery ligation and compression of the lower uterine segment at the same time with one circular stitch) as a conservative treatment for the treatment of postpartum hemorrhage in women with placenta previa complete centralis.
Eligibility Criteria
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Inclusion Criteria
* intraoperative postpartum hemorrhage and discovery of a placenta previa;
* successful removal of the placenta
Exclusion Criteria
* failure of successful removal of the placenta
21 Years
46 Years
FEMALE
No
Sponsors
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Benha University
OTHER
Responsible Party
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khalid abd aziz mohamed
lecturer of ob/gyn
Principal Investigators
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khalid mohamed, MD
Role: STUDY_CHAIR
Department of Obstetrics and Gynecology, Benha University Hospital
Locations
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Benha univesity hospital
Banhā, El Qualyobia, Egypt
Countries
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Other Identifiers
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khalid-ahmed 4
Identifier Type: -
Identifier Source: org_study_id
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