Comparison Between Bladder Dissection Before and After Uterine Incision in Cesarean Section for Morbidly Adherent Placenta

Ain Shams University

Status: Unknown

Conditions: Morbidly Adherent Placenta

Treatments: Procedure: bladder dissection

Study type: Interventional

Funder types: Other

Identifiers

NCT03676855

FWA000017585MD361/2017

Details and patient eligibility

About

Comparison between bladder dissection at the beginning of cesarean section For morbidly adherent placenta and between delaying dissection until planning for cesarean hysterectomy

Enrollment: 60 estimated patients

Sex: Female

Ages: 18 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Women with BMI at or under 35 Kg/m2.
2. Women having previous two cesarean section or more.
3. Women with gestational age more than 32 weeks with viable fetus.
4. Women with any degree of placenta previa .
5. Patient with morbidly adherent placenta on cesarean scar only.

Exclusion criteria

1. Patient who are haemodynamically unstable before skin incision.
2. Patient with clinically evident intraamniotic infection.
3. Patient with previous history of bladder injury .

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups

bladder dissection before uterine incision

Active Comparator group

Treatment:

Procedure: bladder dissection

bladder dissection after uterine incision

Experimental group

Treatment:

Procedure: bladder dissection