Surgical Technique To Control Postpartum Hemorrhage

New Surgical Technique To Control Postpartum Hemorrhage Due To Placenta Accreta

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT03241849

Enrollment

110

Registered

2017-08-08

Start date

2017-08-01

Completion date

2020-02-01

Last updated

2020-06-23

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

Conditions

Post Partum Hemorrhage

Brief summary

Placenta accreta is an obstetrical complication where the placenta becomes firmly adherent to the uterine wall. Placenta accreta can lead to considerable maternal morbidity and mortality due to hemorrhage, infection, or other surgical complications such as those resulting from hysterectomy. Retained placenta accreta is usually a rare condition, but its prevalence is increasing due to the rise in the rate of deliveries by Cesarean section. Placenta accreta is a potentially life-threatening obstetric condition that requires a multidisciplinary approach to management. The incidence of placenta accreta has increased and seems to parallel the increasing cesarean delivery rate. Women at greatest risk of placenta accreta are those who have myometrial damage caused by a previous cesarean delivery with either an anterior or posterior placenta previa overlying the uterine scar. Diagnosis of placenta accreta before delivery allows multidisciplinary planning in an attempt to minimize potential maternal or neonatal morbidity and mortality.

Interventions

PROCEDUREModified surgical technique for placenta accreta

suturing of the myometrium splitted by the placenta in cases presented by placenta accreta

Study design

Allocation

Intervention model

SINGLE_GROUP

Primary purpose

PREVENTION

Masking

NONE

Eligibility

Sex/Gender

FEMALE

Age

20 Years to 40 Years

Healthy volunteers

Inclusion criteria

1. Estimated gestational age between 34 -40 weeks . 2. Presence of total or focal parts of placenta accreta morbidly adherent placenta . 3. Cases with mild vaginal bleeding or not having any vaginal bleeding

Exclusion criteria

1. Severe attack of bleeding require an immediate intervention. 2. Associated with placental abruption 3. Patients with known bleeding disorders or on anticoagulant therapy. 4. Preoperative decision to do peripartum hysterectomy.

Design outcomes

Primary

Measure	Time frame
Amount of blood loss (mL)	24 hours

Countries

Egypt

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 18, 2026