Doppler Imaging and Morbidly Adherent Placenta

Cairo University (CU)

Status: Unknown

Conditions: Antepartum Hemorrhage

Treatments: Device: 3D Doppler Ultrasound

Study type: Interventional

Funder types: Other

Identifiers

NCT03267446

CU28817

Details and patient eligibility

About

The aim of this study is to assess the value of adding 3D power Doppler (as a diagnostic technique) to gray scale technique in the antenatal diagnosis of morbidly adherent placenta as well as predict the surgical outcome regarding the type of surgery and the intra operative morbidities.

Enrollment: 60 estimated patients

Sex: Female

Ages: 18 to 45 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Age: 18 - 45.
• Pregnant 32 weeks or more.
• Placenta previa (Major and Minor).
• History of previous cesarean section.

Exclusion criteria

• Medical disorders such as bleeding disorders.
• Lethal fetal anomalies.
• Delivery before 34 weeks.

Trial design

Primary purpose: Diagnostic

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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60 participants in 1 patient group

Interventional group

Experimental group

Description:

Patients confirmed having one or more of the signs of morbidly adherent placenta will be examined by 3D Ultrasound and 3D power Doppler. Patients will then be prepared for the operation.Cesarean hysterectomy will be done with removal of the uterus and the placenta as one mass.Cases with focal invasion of the uterus will be given a trial for conservative management. The whole specimen will be sent for histopathological examination, and the determination of length and depth of invasion.

Treatment:

Device: 3D Doppler Ultrasound