Morbidly Adherent Placenta, Placenta Accreta
Conditions
Keywords
Placenta, Accreta, Morbidly, Adherent Placenta
Brief summary
This is a randomized controlled trial to investigate the optimal timing of delivery in clinically stable women with a suspected morbidly adherent placenta.
Detailed description
This is a randomized controlled trial to investigate the optimal timing of delivery in clinically stable women with a suspected morbidly adherent placenta dispositioned for a scheduled delivery. The primary outcome will be assessed by comparing the composite neonatal morbidity and composite maternal morbidity between the two groups (delivery at 34 versus 36 weeks gestational age).
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Women with monographically morbidly adherent placenta with or without a placenta previa. * Scheduled delivery via cesarean hysterectomy
Exclusion criteria
* Delivery planned prior to 36 weeks (e.g. non-reassuring fetal status, preterm labor, severe preeclampsia, other medical/fetal indication for delivery as determined by the managing physician).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Composite neonatal morbidity | Within 72 hours of newborn discharge |
| Maternal neonatal morbidity | Within 72 hours of patient discharge |