Morbidly Adherent Placenta
Conditions
Brief summary
This study objective is to assess the accuracy of a specialized pro forma in suggesting the probability of Morbidly Adherent Placenta, its extent and its correlation with intraoperative findings.
Interventions
DIAGNOSTIC_TESTUltrasound
Ultrasound evaluation, with grayscale and color Doppler imaging.
Sponsors
Cairo University
Study design
Observational model
OTHER
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
FEMALE
Age
28 Years to 42 Years
Healthy volunteers
No
Inclusion criteria
* Age group 28:42 years. * Pregnant women in their late third trimester (34 0/7 weeks: 37 0/7 weeks). * With a single living fetus in the current pregnancy. * A previous delivery by at least 1 cesarean section or history of uterine surgery including (surgical evacuation, myomectomy or endometrium ablation) * Having an anterior placenta previa or anterior low-lying placenta by ultrasound assessment.
Exclusion criteria
* Cases with a non-previa placenta, posterior low lying placenta or posterior previa placenta. * Maternal chronic medical disorders( diabetes mellitus, hypertension) * Patients presented with severe attack of bleeding. * Patients presented with rupture of membrane. * Emergency delivery regardless the cause.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinical significance of ultrasound signs in morbidly adherent placenta(most sensitive US sign) | June 2021- July 2022 |
| Accuracy of our specialized pro forma in assessing extent of morbidly adherent placenta(focal , diffuse) | June 2021- July 2022 |
| Accuracy of our specialized pro forma in assessing depth of invasion of placenta accreta spectrum (accrete, increta and percreta) | June 2021- July 2022 |
Secondary
| Measure | Time frame |
|---|---|
| 1- Correlation between US signs and intraoperative findings including morbidity and mortality | June 2021- July 2022 |
Countries
Egypt
Outcome results
None listed