RecruitingNot ApplicableNCT06359886

B-lynch Transverse Compression Suture

B-lynch Transverse Compression Suture in the Prophylaxis and Control of Postpartum Heamorrhage in Patients With Placenta Previa: A Pilot Study

Sponsor

Alexandria University

Enrollment

25 participants

Start Date

Mar 20, 2024

Study Type

INTERVENTIONAL

Conditions

Blood Loss, Surgical

Summary

Is B-Lynch transverse compression suture safe and effective in controlling excessive blood loss during conservative management of women with placenta previa?

Eligibility

Sex: FEMALEMin Age: 18 YearsMax Age: 45 Years

Inclusion Criteria3

Single gestation
Elective CS for placenta preiva (diagnosed by transvaginal ultrasound).
Muliparity (para 2 or more).

Exclusion Criteria14

Morbidly adherent placenta: accrete, increta or percreta, diagnosed by abdominal and/or transvaginal ultrasound.
Ultrasonographic features of morbidly adherent placentas:
Loss of Retro-placental sonolucent zone.
Vascular lacunae.
Myometrial thinning.
Interruption of the bladder border.
More than 3 previous C.S.
Severely haemodynamic instablility needing immediate hysterectomy.
Patients with the cardiac, hepatic, renal or thromboembolic disease
Patients with coagulopathy:
Receiving anticoagulant therapy.
With thrombocytopenia or thrombasthenia.
Known coagulation factor defect.
Distorted uterus as unicornuate, bicornuate, fibroid uterus and adenomyosis uteri.