Effect of Uterine Artery Ligation Prior to Uterine Incision in Women With Placenta Previa
Placenta Previa
About this trial
This is an interventional prevention trial for Placenta Previa
Eligibility Criteria
Inclusion Criteria:
- patients diagnosed with placenta praevia antenatally
- plan is elective caesarean section
- Gestational age >34 weeks
Exclusion Criteria:
- Fetal distress
- medical disorders as hypertension or Diabetes Mellitus
- Coagulation defects.
- Emergency Cesarean section
- women with antepartum hemorrhage
- patients with marked ahdesions or those with non possible uterine artery ligation
Sites / Locations
- Kasr Alainy medical schoolRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
uterine artery ligation
Traditional lower segment Cesarean section
Pfannenstiel incision of skin and opening of the anterior abdominal wall in layers. The loose peritoneum of the lower uterine segment is dissected downwards to mobilize the urinary bladder and expose the lower uterine segment. Uterine artery ligation was performed by grasping the broad ligament with thumb anterior and the index finger lifting the base below the site uterine incision; the uterine artery was singly ligated with No. 1 vicryl suture. Myometrium was included so that uterine vessels are not damaged. Cresenteric lower uterine segment incision was performed as usual. Higher incisions were performed in cases where the traditional incision was expected to be directly through the placenta.
Pfannenstiel incision of skin and opening of the anterior abdominal wall in layers. The loose peritoneum of the lower uterine segment is dissected downwards to mobilize the urinary bladder and expose the lower uterine segment. Cresenteric lower uterine segment incision was performed as usual. Higher incisions were performed in cases where the traditional incision was expected to be directly through the placenta.