Not yet recruiting NCT07236060
Ultrasound Model to Help Differentiate Between Placenta Accreta Spectrum and Uterine Dehiscence in 3rd Trimester Pregnancies
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: 2D ultrasound doppler.
- Who it may be relevant to
- Registry conditions: Placenta Accreta, Third Trimester, Uterine Scar Dehiscence. Basic parameters: 18 years — 50 years · Female.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Center list to be confirmed — check the primary protocol.
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Placenta Accreta Spectrum VS Uterine Scar Dehiscence: Accurate Ultrasound Model in 3rd Trimester Pregnancies for Percise Diagnosis
Overview
By using 2d Ultrasound on 3rd trimester pregnant women, a model is made to help differentiate between placenta accreta spectrum and uterine scar dehiscence before operative action to help prepare multi-disciplinary steps if needed
Detailed description
A cross-sectional observational study
Interventions
- Device 2D ultrasound doppler
using 2d ultrasound doppler to form a model that will help distinguish between placenta accreta spectrum and uterine scar dehiscence pre-operatively
Primary outcome measures
- Model for percise diagnosis of placenta accreta spectrum Using 2d and/or 3d ultrasound doppler to assess: Placental site [Time frame: (gestational age 28wk-full term) till operation]
- Model for percise diagnosis of placenta accreta spectrum Using 2d and/or 3d ultrasound doppler to assess: placental thickness [Time frame: (gestational age 28wk- full term) till operation]
- Model for percise diagnosis of placenta accreta spectrum Using 2d and/or 3d ultrasound doppler to assess: placental size [Time frame: (gestational age 28wk- fullterm) till operation]
- Model for percise diagnosis of placenta accreta spectrum Using 2d and/or 3d ultrasound doppler to assess: placental lacunae [Time frame: (gestational age 28wk-full term) till operation]
- Model for percise diagnosis of placenta accreta spectrum Using 2d and/or 3d ultrasound doppler to assess: Loss of placental hypoechoic zone [Time frame: (gestattional age 28wk-full term) till operation]
- Model for percise diagnosis of placenta accreta spectrum Using 2d and/or 3d ultrasound doppler to assess: Mean systolic velocity in both uterine arteries [Time frame: (gestational age 28wks-full term) till time of operation]
- Model for percise diagnosis of placenta accreta spectrum Using 2d and/or 3d ultrasound doppler to assess: Peak systolic velocity in uteroplacental interface [Time frame: (gestational age 28wks- full term) till operation]
- Model for percise diagnosis of placenta accreta spectrum Using 2d and/or 3d ultrasound doppler to assess: Peak systolic velocity in uterovesical interface [Time frame: (gestational age 28wks- full term) ill operation]
Secondary outcome measures (8)
- precise diagnosis of uterine dehiscence Using 2d and/or 3d ultrasound doppler to assess: Placental site [Time frame: (gestational age 28wk- fullterm) till operation]
- precise diagnosis of uterine dehiscence Using 2d and/or 3d ultrasound doppler to assess: Placental size [Time frame: (gestational age 28wk- full term)till the operation]
- precise diagnosis of uterine dehiscence Using 2d and/or 3d ultrasound doppler to assess: Placental thickness [Time frame: (gestational age 28wk-full term) till operation]
- precise diagnosis of uterine dehiscence Using 2d and/or 3d ultrasound doppler to assess: Placental lacunae [Time frame: (gestational age 28wk- fullterm) till operation]
- precise diagnosis of uterine dehiscence Using 2d and/or 3d ultrasound doppler to assess: Loss of placental hypoechoic zone [Time frame: (gestational age 28wks - fullterm) till operation]
- precise diagnosis of uterine dehiscence Using 2d and/or 3d ultrasound doppler to assess: Mean systolic velocity in both uterine arteries [Time frame: (gestational age 28wk- fullterm) till operation]
- precise diagnosis of uterine dehiscence Using 2d and/or 3d ultrasound doppler to assess: Peak systolic velocity in uteroplacental interface [Time frame: (gestational age 28wk- fullterm) till operation]
- precise diagnosis of uterine dehiscence Using 2d and/or 3d ultrasound doppler to assess: Peak systolic velocity in uterovesical interface [Time frame: (gestational age 28wk-full term) till operation]
Eligibility criteria
Inclusion criteria
- Women in 3rd trimester pregnancy with low lying placenta previa
- History of 1 or more C-section
- Patients planning to deliver baby in Assiut women health hospital
- Willing and able to participate
Exclusion criteria
- Antepartum Hemorrhage(sever attack) as it hinders time for accurate diagnosis and calling expert team of diagnosis
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Other
Study locations
Center list to be confirmed — check the primary protocol.
Identifiers
NCT: NCT07236060 · 042025201333