Obstetric Labor Complications, Staging of Placental Invasion
Conditions
Brief summary
The investigators evaluated the efficacy of a staging system introduced by the American Institute of ultrasound in medicine 2015 including sonographic parameters associated with morbidly adherent placenta for antenatal prediction of placental invasion.
Detailed description
Morbidly adherent placenta (MAP) defines a spectrum of conditions, including placenta accreta, increta, and percreta, which are associated with significant maternal and fetal morbidity and mortality. Ultrasound evaluation, with grayscale, is the recommended first-line modality for diagnosing MAP. Grayscale ultrasound features suggestive of placenta accreta include the loss of myometrial interface or retroplacental clear space, reduced myometrial thickness and the presence of intraplacental lacunae. Using a staging system by antenatal ultrasound can predict placental invasion antenatally.
Interventions
DEVICEUltrasound
Pregnant women in 3rd trimester with anterior placenta previa and lower cesarean section scar. Ultrasound was done and according to parameters of the morbidly adherent placenta, a staging system was conducted.
Sponsors
Beni-Suef University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE
Intervention model description
Pregnant women in 3rd trimester
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Prior lower segment cesarean section * Low lying anterior placenta * Singleton pregnancy
Exclusion criteria
* Medical disorders * vasa previa
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Confirmation of the stage of myometrial placental invasion | 1 hour | By ultrasound, placental invasion in myometrium was given a stage |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Blood loss | 1 hour | Documentation of complications intraoperative |
Countries
Egypt
Outcome results
None listed