Morbidly Adherent Placenta
Conditions
Brief summary
Comparison between bladder dissection at the beginning of cesarean section For morbidly adherent placenta and between delaying dissection until planning for cesarean hysterectomy
Interventions
PROCEDUREbladder dissection
Comparison between bladder dissection at the beginning of cesarean section For morbidly adherent placenta and between delaying dissection until planning for cesarean hysterectomy
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
1. Women with BMI at or under 35 Kg/m2. 2. Women having previous two cesarean section or more. 3. Women with gestational age more than 32 weeks with viable fetus. 4. Women with any degree of placenta previa . 5. Patient with morbidly adherent placenta on cesarean scar only.
Exclusion criteria
1. Patient who are haemodynamically unstable before skin incision. 2. Patient with clinically evident intraamniotic infection. 3. Patient with previous history of bladder injury .
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Operative time | icluding all cs over the period of one year | of whole cs |
| Blood loss | icluding all cs over the period of one year | through counting soaked towels and weighting them before and after being soaked considering the difference in grams as the calculated blood loss and calculating blood in the suction reservoir and comparing pre and post operative Hb level also haemotacrit level and number of units of packed RBCs transfused |
| - Incidence of urological | during cs and post operative delayed complication icluding all cs over the period of one year | \- Incidence of urological injuries discovered intraoperative and procedure needed to repair or as a late complication as fistula formation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Neonatal APGAR score | after delivery of the baby during the 1st 15 minutes | Neonatal APGAR score |
| Time taken to create bladder flap | from the start of bladder dissection icluding all cs over the period of one year | from the start of bladder dissection |
| 3 months post operative filling cystometry | 3 months post operative | 3 months post operative filling cystometry |
Countries
Egypt
Contacts
Primary Contacthassan helmy, master
Backup Contactmohamed elsenity, MD
Outcome results
None listed