Placenta Previa Without Hemorrhage
Conditions
Keywords
placenta previa, uterine artery ligation
Brief summary
This trial will address the effect of uterine artery ligation during Cesarean section in cases with placenta previa to decrease blood loss.
Detailed description
This Study will address the effect of uterine artery ligation prior to fetal delivery during Cesarean section in cases with central placenta previa to guard against postpartum hemorrhage and to minimize blood loss.
Interventions
PROCEDUREUterine artery ligation
Uterine artery ligation during cesarean section before delivery of the baby
Sponsors
Minia Maternity University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 49 Years
Healthy volunteers
Yes
Inclusion criteria
* Placenta previa is diagnosed when the lowest placental edge is located within 5 cm of the internal os at ultrasound * Symptomatic Placenta previa with at least one episode of bleeding * Estimated gestational age within 28 to 40 weeks * Maternal age \> 18 years * Informed consent * Social affiliation
Exclusion criteria
* Premature rupture of membranes * Severe bleeding. * Abnormal fetal heart rates. * Pre-eclampsia, chorioamnionitis, severe chronic renal disease.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in hemoglobin level | hemoglobin level will be done baseline and will be repeated 24 hours after delivery | Changes in hemoglobin level before and after CS will reflect the amount of blood loss during operation |
Secondary
| Measure | Time frame |
|---|---|
| Degree of uterine contractility. | During CS and within 3 hours after CS |
Countries
Egypt
Outcome results
None listed