Tamponade vs Partial Myometrial Resection of Lower Uterine Segment in Management of Placenta Accreta Spectrum Cases

Launched by ASSIUT UNIVERSITY · Aug 27, 2024

Keywords

ClinConnect Summary

This clinical trial is exploring two different methods to manage heavy bleeding during surgery in pregnant women with a condition called placenta accreta spectrum (PAS). PAS occurs when the placenta grows too deeply into the uterus, which can cause complications during delivery. The trial aims to compare the effectiveness of using a special device to apply pressure inside the lower part of the uterus (tamponade) versus a surgical procedure that removes a portion of the muscle layer of the uterus (partial myometrial resection).

To participate in this trial, women need to be pregnant with placenta previa or PAS diagnosed through ultrasound and Doppler tests, and they should be at least 28 weeks along in their pregnancy. Additionally, they should have had at least one previous surgery on the uterus, like a C-section, and be scheduled for a C-section again. Participants will have the opportunity to contribute to important research that could help improve care for future mothers facing similar situations. It's important to note that this trial is not yet recruiting participants, so interested individuals will need to wait for it to start.

Gender

FEMALE

Eligibility criteria

• Inclusion Criteria:
• • 1-Pregnant women with placenta previa /PAS diagnosed before delivery (by ultrasound and Doppler examination) .
• • 2 - Gestational age starting from 28 weeks onwards. 3- Women with at least 1 previous hysterotomy (e.g. Caesarean deliveries, myomectomy) 4- Elective or emergent Caesarean deliveries
• Exclusion Criteria:
• • A pre-existing decision of performing intrapartum hysterectomy