Comparison of the amount of bleeding during curettage in patients with Cesarean scar pregnancy in two methods, with and without ligation of cervical and vaginal branches of the uterine artery.

Comparison of bleeding during curettage with and without cervical and vaginal branch ligation of the uterine artery in patients with cesarean scar pregnancy

Status

Recruiting

Phases

Phase 3

Study type

Interventional

Source

IRCT

Registry ID

IRCT20211103052950N5

Enrollment

Registered

2025-04-28

Start date

2025-05-05

Completion date

Unknown

Last updated

2025-07-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Ectopic pregnancy. Ectopic pregnancy

Interventions

Intervention 1: Intervention Group: It will be in lithotomy for surgery to provide optimal access to the pelvic area

Using the anterior and posterior vaginal vaginal cervical vaginal and posterior vaginal cervical vaginal venomia with cervical tancolum is pulled forward to see the most end of the vaginal lazy forn.

Eligibility

Sex/Gender

Female

Age

18 Years to 45 Years

Inclusion criteria

Inclusion criteria: Ages 18 to 45 Women with previous Cesarean scars Consent to participate in the study Women candidates for curettage surgery for pregnancy with cesarean scar Myometrial thickness behind the cesarean scar is greater than 4 mm.

Exclusion criteria

Exclusion criteria: Multiple pregnancies Patients with a history of previous surgery in the vaginal and uterine area. Patients taking anticoagulant medications before surgery High-risk pregnancy patients Patients with pregnancy through assisted reproductive technology Patients with impaired platelet levels, prothrombin time, partial thromboplastin time, and INR.

Design outcomes

Primary

Measure	Time frame
Amount of infused serum. Timepoint: During surgery. Method of measurement: Checklist / Intraoperative Observation.;Hemoglobin level. Timepoint: Before surgery and six hours after the completion of surgery. Method of measurement: Blood test.;The amount of transfused blood products. Timepoint: From surgery to hospital discharge. Method of measurement: Checklist.;Need for laparotomy to control bleeding. Timepoint: From surgery to hospital discharge. Method of measurement: Checklist.	—

Measure

Time frame

Amount of infused serum. Timepoint: During surgery. Method of measurement: Checklist / Intraoperative Observation.;Hemoglobin level. Timepoint: Before surgery and six hours after the completion of surgery. Method of measurement: Blood test.;The amount of transfused blood products. Timepoint: From surgery to hospital discharge. Method of measurement: Checklist.;Need for laparotomy to control bleeding. Timepoint: From surgery to hospital discharge. Method of measurement: Checklist.

—

Countries

Iran (Islamic Republic of)

Contacts

Public ContactDr.Fateme Tabatabaei

Tabriz University of Medical Sciences

lahroudin@gmail.com0098 35539161

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026