Ultrasound Staging in the Placenta Accreta

Beni-Suef University

Status: Completed

Conditions: Staging of Placental Invasion; Obstetric Labor Complications

Treatments: Device: Ultrasound

Study type: Interventional

Funder types: Other

Identifiers

NCT04253197

Beni-Suef 3-2017

Details and patient eligibility

About

The investigators evaluated the efficacy of a staging system introduced by the American Institute of ultrasound in medicine 2015 including sonographic parameters associated with morbidly adherent placenta for antenatal prediction of placental invasion.

Full description

Morbidly adherent placenta (MAP) defines a spectrum of conditions, including placenta accreta, increta, and percreta, which are associated with significant maternal and fetal morbidity and mortality. Ultrasound evaluation, with grayscale, is the recommended first-line modality for diagnosing MAP. Grayscale ultrasound features suggestive of placenta accreta include the loss of myometrial interface or retroplacental clear space, reduced myometrial thickness and the presence of intraplacental lacunae. Using a staging system by antenatal ultrasound can predict placental invasion antenatally.

Enrollment: 75 patients

Sex: Female

Ages: 18 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Prior lower segment cesarean section
• Low lying anterior placenta
• Singleton pregnancy

Exclusion criteria

• Medical disorders
• vasa previa

Trial design

Primary purpose: Diagnostic

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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75 participants in 1 patient group

Morbidly adherent placenta

Other group

Description:

This arm was given stage according to ultrasound features.

Treatment:

Device: Ultrasound