Placenta Accrete Spectrum
Conditions
Brief summary
To evaluate the correlation between preoperative ultrasound imaging findings by 3D Color Doppler Ultrasound and the intraoperative severity of Placenta Accreta Spectrum (PAS) disorders, in order to assess the diagnostic accuracy of sonographic markers and their utility in predicting the extent of placental invasion.
Interventions
PROCEDURECesarian section
Cesarian section for detection the degree of placenta Accreta spectrum invasion comparaple to 3D color Doppler
Sponsors
Sohag University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
16 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
Pregnant women with clinical or ultrasound suspicion of PAS, including: 1. Placenta previa or low-lying placenta 2. History of previous cesarean section(s) or uterine surgery (e.g., myomectomy, D&C) 2. Gestational age ≥ 28 weeks at the time of ultrasound evaluation 3. Undergoing planned cesarean delivery in the study hospital 4. Availability of preoperative ultrasound imaging performed using a standardized protocol. 5\. Patient can provide informed Written consent and Agree to participate in the study \-
Exclusion criteria
Patients with incomplete or poor-quality ultrasound data 2. Unavailability of intraoperative confirmation of placental invasion 3. Patients with placental abruption or other causes of acute bleeding requiring emergency delivery without imaging 4. Loss to follow-up prior to delivery 5. Declined consent or withdrew participation from the study \-
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Correlation between preoperative ultrasound findings and the confirmed degree of Placenta Accreta Spectrum (PAS) severity (classified as accreta, increta, or percreta). o The classification will be based on intraoperative surgical findings. | Patient preg 28 wks compare finding intraoperative |
Countries
Egypt
Outcome results
None listed