Paracervical Pouch in Placenta Accreta Spectrum (pouch)

Alexandria University

Status

Not yet enrolling

Conditions

Placenta Accreta

Study type

Observational

Funder types

Other

Identifiers

NCT06100640

26/564

Details and patient eligibility

About

The study objective is the significance of the ultrasound detection of the paracervical pouch in placenta accreta spectrum. It aimed to evaluate its relation to the degree of placenta accreta spectrum, amount of the blood loss and the number of packed red blood cells transfused.

Full description

The study will be carried on patients diagnosed with placenta previa or placenta accreta spectrum and had at least one caesarean section. The study will be divided into 2 groups of 70 patients at least per each. The first group will include patients in whom a paracervical pouch is detected, and the second group will include patients in whom the pouch is not detected by transvaginal ultrasound.

paracervical pouch is defined ultrasonographic as the downward displacement of the uterine serosa from the level of the cervical internal os

Enrollment

140 estimated patients

Sex

Female

Ages

19 to 40 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

• Patients between 19 to 40 years old
- Patients had at least one cesarean section.

Exclusion criteria

• Patients who request hysterectomy.
- Patients diagnosed with hepatitis B, C, or HIV,
- Those with bleeding diathesis.
- Patients whose BMI is more than 40 kg/m2.
- Patients who need an emergency cesarean section.