Condition: Pregnancy · Placenta Accrete Spectrum · Tourniquets · Sponsor: Kasr El Aini Hospital
Placenta accreta spectrum disorder (PAS) refers to a condition where the placenta fails to separate naturally after childbirth, which can cause significant maternal and neonatal complications, including severe bleeding, leading to increased morbidity and mortality. According to the pathological characteristics, PAS can be classified into three categories, including placenta accreta, placenta increta, and placenta percreta. Risk factors for PAS were identified as cesarean section (CS), hysteroscopy history, in vitro fertilization and embryo transfer and placenta previa, etc. It was reported that over 90% of the PAS cases were with prior cesarean delivery. In order to reduce the morbidity and mortality caused by PAS, guidelines were released from several international societies, including the Federation of Gynecology and Obstetrics (FIGO), Royal College of Obstetricians and Gynecologists (RCOG), the American College of Obstetricians and Gynecologists (ACOG) and Society of Obstetricians and Gynecologists of Canada (SOGC) recommending comprehensive multidisciplinary team (MDT) and expertise in pelvic and abdominal surgeries are essential for patients with PAS. Antenatal diagnosis of PAS is highly advisable, which is closely associated with surgery options, bleeding management and success of uterine preservation. Current diagnostic approaches include imaging examination, PAS prenatal grading system and MDT. Severe complications of PAS (particularly in the case of PP), such as subs…
This description comes directly from the study's public registry record.
Yassmine A Hamouda, MSC · 00201001680580 · yassmineamrabdelmegid@hotmail.com
Abdallah M Mousa, MD · 0020127664430 · Dr_abdallahmousa@yahoo.com
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| kasr Al Aini Hospitals , Faculty of medicine , Cairo University , Cairo | Cairo, Egypt | Recruiting |
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Source record: clinicaltrials.gov/study/NCT07412925