An interventional study of Cesarian section in Placenta Accrete Spectrum, sponsored by Sohag University. Enrolling by invitation at 1 site in Egypt. Open to female participants aged 16 Years to 45 Years. Per ClinicalTrials.gov, last updated 2025-11-26.
Sponsored by Sohag University · Not applicable, Interventional, and Diagnostic
To evaluate the correlation between preoperative ultrasound imaging findings by 3D Color Doppler Ultrasound and the intraoperative severity of Placenta Accreta Spectrum (PAS) disorders, in order to assess the diagnostic accuracy of sonographic markers and their utility in predicting the extent of placental invasion.
Sohag University is the lead sponsor of 1,183 studies on the registry; 612 are open to participants now.
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Inclusion Criteria: Pregnant women with clinical or ultrasound suspicion of PAS, including:
History of previous cesarean section(s) or uterine surgery (e.g., myomectomy, D\&C) 2. Gestational age ≥ 28 weeks at the time of ultrasound evaluation 3. Undergoing planned cesarean delivery in the study hospital 4. Availability of preoperative ultrasound imaging performed using a standardized protocol.
5. Patient can provide informed Written consent and Agree to participate in the study
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Exclusion Criteria: Patients with incomplete or poor-quality ultrasound data 2. Unavailability of intraoperative confirmation of placental invasion 3. Patients with placental abruption or other causes of acute bleeding requiring emergency delivery without imaging 4. Loss to follow-up prior to delivery 5. Declined consent or withdrew participation from the study
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Procedure: Cesarian section
Cesarian section for detection the degree of placenta Accreta spectrum invasion comparaple to 3D color Doppler
Correlation between preoperative ultrasound findings and the confirmed degree of Placenta Accreta Spectrum (PAS) severity (classified as accreta, increta, or percreta). o The classification will be based on intraoperative surgical findings.
Time frame: Patient preg 28 wks compare finding intraoperative
Correlation between preoperative ultrasound findings and the confirmed degree of Placenta Accreta Spectrum (PAS) severity (classified as accreta, increta, or percreta). o The classification will be based on intraoperative surgical findings.
Time frame: Pt preg for more than 28wks preg and compare finding intraoperative
Plan to share: Undecided
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Sohag University