Retained Placenta Retained placenta Clinical diagnosis Ultrasound diagnosis Doppler diagnosis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: o Retained placenta for at least 30 minutes (or 60 minutes in physiological management) o Written informed consent o Estimated gestation of at least 24 weeks o Participants should be over 18 years of age, or over 16 and ‘Gillick competent’.
Exclusion criteria
Exclusion criteria: o Significant vaginal bleeding or maternal haemodynamic instability (Pulse > 100bpm or systolic blood pressure <100mmHg) necessitating immediate placental removal o Stillborn baby o Women requiring English translation o Women without time for ultrasound assessment before they go to theatre, or in whom ultrasound would delay normal management.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinical Diagnosis of types of retained placenta Before manual removal of placenta Clinical examination ,Images of placenta Before manual removal of placenta Ultrasound examination,Maximum thickness of retoplacental myometrium Before manual removal of placenta Ultrasound examination,Bilateral uterine artery resitance index Before manual removal of placenta Doppler ultrasound examination,Presence or absence of retroplacental blood flow Before manual removal of placenta Doppler ultrasound examination | — |
Secondary
| Measure | Time frame |
|---|---|
| N/A N/A N/A | — |
Countries
United Kingdom of Britain
Contacts
University of Liverpool