Post Partum Bleeding
Conditions
Keywords
Placenta accreta, Internal iliac artery catheterization, Post partum bleeding
Brief summary
Placenta accreta is a relatively rare event, in which the placenta is abnormally implanted into the uterine myometrium. The most significant complication is intense bleeding, mainly during labor. The most important risk factors are previous cesarean delivery, placenta previa, and advanced maternal age. Cesarean hysterectomy is the recommended management. During the recent years, inserting intravascular balloon catheter for occlusion and/or arterial embolization, was introduced as an adjuvant therapy in order to minimize blood loss during cesarean hysterectomy or in conduct with conservative management with the intent of avoiding hysterectomy in selective cases. Contradicting reports exist regarding the effectiveness and safety of the catheters in cases of placenta accreta. The objective of this study is to estimate the efficacy of the balloon catheters among women diagnosed with a placenta accreta.
Interventions
PROCEDUREinternal iliac catheterization
Women in this arm will undergo internal iliac artery catheterization prior to the cesarean delivery
Sponsors
HaEmek Medical Center, Israel
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* pregnant women age 18-45 * antepartum diagnosis of placenta accreta
Exclusion criteria
\- women who refuse to participate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of blood products transfused | 5 years |
Secondary
| Measure | Time frame |
|---|---|
| Need for hysterectomy | 5 years |
| catheter's side effects | 5 years |
| Length of hospitalization | 5 years |
Countries
Israel
Outcome results
None listed