Placenta Accreta, Third Trimester, Uterine Scar Dehiscence
Conditions
Brief summary
By using 2d Ultrasound on 3rd trimester pregnant women, a model is made to help differentiate between placenta accreta spectrum and uterine scar dehiscence before operative action to help prepare multi-disciplinary steps if needed
Detailed description
A cross-sectional observational study
Interventions
DEVICE2D ultrasound doppler
using 2d ultrasound doppler to form a model that will help distinguish between placenta accreta spectrum and uterine scar dehiscence pre-operatively
Sponsors
Assiut University
Study design
Observational model
OTHER
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Women in 3rd trimester pregnancy with low lying placenta previa * History of 1 or more C-section * Patients planning to deliver baby in Assiut women health hospital * Willing and able to participate
Exclusion criteria
* Antepartum Hemorrhage(sever attack) as it hinders time for accurate diagnosis and calling expert team of diagnosis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Model for percise diagnosis of placenta accreta spectrum Using 2d and/or 3d ultrasound doppler to assess: Peak systolic velocity in uterovesical interface | (gestational age 28wks- full term) ill operation |
| Model for percise diagnosis of placenta accreta spectrum Using 2d and/or 3d ultrasound doppler to assess: placental lacunae | (gestational age 28wk-full term) till operation |
| Model for percise diagnosis of placenta accreta spectrum Using 2d and/or 3d ultrasound doppler to assess: Placental site | (gestational age 28wk-full term) till operation |
| Model for percise diagnosis of placenta accreta spectrum Using 2d and/or 3d ultrasound doppler to assess: placental thickness | (gestational age 28wk- full term) till operation |
| Model for percise diagnosis of placenta accreta spectrum Using 2d and/or 3d ultrasound doppler to assess: placental size | (gestational age 28wk- fullterm) till operation |
| Model for percise diagnosis of placenta accreta spectrum Using 2d and/or 3d ultrasound doppler to assess: Loss of placental hypoechoic zone | (gestattional age 28wk-full term) till operation |
| Model for percise diagnosis of placenta accreta spectrum Using 2d and/or 3d ultrasound doppler to assess: Mean systolic velocity in both uterine arteries | (gestational age 28wks-full term) till time of operation |
| Model for percise diagnosis of placenta accreta spectrum Using 2d and/or 3d ultrasound doppler to assess: Peak systolic velocity in uteroplacental interface | (gestational age 28wks- full term) till operation |
Secondary
| Measure | Time frame |
|---|---|
| precise diagnosis of uterine dehiscence Using 2d and/or 3d ultrasound doppler to assess: Placental site | (gestational age 28wk- fullterm) till operation |
| precise diagnosis of uterine dehiscence Using 2d and/or 3d ultrasound doppler to assess: Placental size | (gestational age 28wk- full term)till the operation |
| precise diagnosis of uterine dehiscence Using 2d and/or 3d ultrasound doppler to assess: Placental thickness | (gestational age 28wk-full term) till operation |
| precise diagnosis of uterine dehiscence Using 2d and/or 3d ultrasound doppler to assess: Placental lacunae | (gestational age 28wk- fullterm) till operation |
| precise diagnosis of uterine dehiscence Using 2d and/or 3d ultrasound doppler to assess: Loss of placental hypoechoic zone | (gestational age 28wks - fullterm) till operation |
| precise diagnosis of uterine dehiscence Using 2d and/or 3d ultrasound doppler to assess: Mean systolic velocity in both uterine arteries | (gestational age 28wk- fullterm) till operation |
| precise diagnosis of uterine dehiscence Using 2d and/or 3d ultrasound doppler to assess: Peak systolic velocity in uteroplacental interface | (gestational age 28wk- fullterm) till operation |
| precise diagnosis of uterine dehiscence Using 2d and/or 3d ultrasound doppler to assess: Peak systolic velocity in uterovesical interface | (gestational age 28wk-full term) till operation |
Contacts
Primary ContactMostafa A Askalany
Backup ContactHassan s Kamel
Outcome results
None listed