Ultrasound Staging in the Placenta Accreta

NCT ID: NCT04253197

Last Updated: 2020-02-05

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

75 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-03-14

Study Completion Date

2019-12-25

Brief Summary

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The investigators evaluated the efficacy of a staging system introduced by the American Institute of ultrasound in medicine 2015 including sonographic parameters associated with morbidly adherent placenta for antenatal prediction of placental invasion.

Detailed Description

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Morbidly adherent placenta (MAP) defines a spectrum of conditions, including placenta accreta, increta, and percreta, which are associated with significant maternal and fetal morbidity and mortality. Ultrasound evaluation, with grayscale, is the recommended first-line modality for diagnosing MAP. Grayscale ultrasound features suggestive of placenta accreta include the loss of myometrial interface or retroplacental clear space, reduced myometrial thickness and the presence of intraplacental lacunae. Using a staging system by antenatal ultrasound can predict placental invasion antenatally.

Conditions

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Obstetric Labor Complications Staging of Placental Invasion

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Pregnant women in 3rd trimester
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Morbidly adherent placenta

This arm was given stage according to ultrasound features.

Group Type OTHER

Ultrasound

Intervention Type DEVICE

Pregnant women in 3rd trimester with anterior placenta previa and lower cesarean section scar. Ultrasound was done and according to parameters of the morbidly adherent placenta, a staging system was conducted.

Interventions

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Ultrasound

Pregnant women in 3rd trimester with anterior placenta previa and lower cesarean section scar. Ultrasound was done and according to parameters of the morbidly adherent placenta, a staging system was conducted.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Prior lower segment cesarean section
* Low lying anterior placenta
* Singleton pregnancy

Exclusion Criteria

* Medical disorders
* vasa previa
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Beni-Suef University

OTHER

Sponsor Role lead

Responsible Party

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Nesreen Abdel Fattah Abdullah Shehata

Associate Professor in Obstetrics and Gynecology Department

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Beni-Suef University

Cairo, , Egypt

Site Status

Countries

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Egypt

References

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Albayrak M, Ozdemir I, Koc O, Demiraran Y. Post-partum haemorrhage from the lower uterine segment secondary to placenta praevia/accreta: successful conservative management with Foley balloon tamponade. Aust N Z J Obstet Gynaecol. 2011 Aug;51(4):377-80. doi: 10.1111/j.1479-828X.2011.01309.x. Epub 2011 Apr 18.

Reference Type BACKGROUND
PMID: 21806571 (View on PubMed)

American institute of ultrasound in medicine 2015.

Reference Type BACKGROUND

Other Identifiers

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Beni-Suef 3-2017

Identifier Type: -

Identifier Source: org_study_id

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