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Comparison between bladder dissection at the beginning of cesarean section For morbidly adherent placenta and between delaying dissection until planning for cesarean hysterectomy
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| bladder dissection before uterine incision | Active Comparator |
| |
| bladder dissection after uterine incision | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| bladder dissection | Procedure | Comparison between bladder dissection at the beginning of cesarean section For morbidly adherent placenta and between delaying dissection until planning for cesarean hysterectomy |
| Measure | Description | Time Frame |
|---|---|---|
| Operative time | of whole cs | icluding all cs over the period of one year |
| Blood loss | through counting soaked towels and weighting them before and after being soaked considering the difference in grams as the calculated blood loss and calculating blood in the suction reservoir and comparing pre and post operative Hb level also haemotacrit level and number of units of packed RBCs transfused | icluding all cs over the period of one year |
| - Incidence of urological | - Incidence of urological injuries discovered intraoperative and procedure needed to repair or as a late complication as fistula formation. | during cs and post operative delayed complication icluding all cs over the period of one year |
| Measure | Description | Time Frame |
|---|---|---|
| Neonatal APGAR score | Neonatal APGAR score | after delivery of the baby during the 1st 15 minutes |
| Time taken to create bladder flap | from the start of bladder dissection |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| hassan helmy, master | Contact | 01023308711 | saberaleek2222@yahoo.com | |
| mohamed elsenity, MD | Contact | 01226573332 |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ain Shams University Maternity Hospital | Recruiting | Cairo | 02 | Egypt |
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| ID | Term |
|---|---|
| D010921 | Placenta Accreta |
| ID | Term |
|---|---|
| D007744 | Obstetric Labor Complications |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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| from the start of bladder dissection icluding all cs over the period of one year |
| 3 months post operative filling cystometry | 3 months post operative filling cystometry | 3 months post operative |
| D010922 | Placenta Diseases |