of 60 pregnant female diagnosed as placenta previa accreta recuirted from Obstetrics and Gynecology Department , Menoufia University Hospital.

Placenta Accreta

Classical CS to decrease haemorrhage from placental bed.
Delievery of the fetus.
At the delivery 10 UI of oxytocin IV will be injected.
The placenta is not attempted to be delievered.
Opening of the broad ligament via round ligament division and ligation.
Gentle dissection of the urinary bladder from lateral to medial.
Bilateral uterine artery clamping at low level below the placental bed .
Gentle attempt to deliver The placenta.
If the placenta is delievered we will do bilateral uterine artery ligation at multiple levels and multiple square compression sutures(if needed) for proper hemeostasis at the placental bed. Then closure of uterine incision.
If the placenta is not delievered we will do segmental ressection of lower uterine segment including the placenta .
Intraperitoneal drain insertion.

Novel Technique of Placenta Accreta in Menoufia University Hospital

Menoufia University hospital

Hamed Elsayed Ellakwa

Conservative Surgical Novel Technique of Placenta Accreta in Menoufia University Hospital

control of bleeding and need for removal of uterus.

Amount of blood loss ,Number of packed red blood cells and blood products transfusion.

urinary bladder injury, ureteric injury. Postoperative complications e.g ileus, sepsis

Dr Hamed Ellakwa

Professor Hamed Ellakwa

Menoufia Obstetrics and Gynecology Group

Newborns will be subjected to umbilical cord immediate clamping

Newborns will be subjected to umbilical cord delayed clamping

Delayed Cord Clamping

Umbilical cord will be clamped after 1 min after the birth of the newborn

Delayed umbilical cord clamping

Umbilical cord will be clamped immediately after the birth of the newborn

Immediate umbilical cord clamping

Department of mother and child's Health Poliambulanza Foundation

Umbilical Cord Clamping: What Are the Benefits

Delayed Umbilical Cord Clamping in Elective Caesarean Section: What Are the Benefits

It will be measured the change of heart rate (HR)

Giuseppe De Bernando

Principal Investigator

Fondazione Poliambulanza Istituto Ospedaliero

including 51 women who will receive a prefilled syringe with two milliliters (8 mg) of dexamethasone intravenously.

including 51 women who will receive a prefilled syringe with two milliliters of distilled water intravenously.

Induction of Labor Affected Fetus / Newborn

a prefilled syringe with two milliliters (8 mg) of dexamethasone intravenously

Dexamethasone

a prefilled syringe with two milliliters of distilled water intravenously.

Distilled Water

Ain Shams University

Dexamethasone and Induction of Delivery

Dexamethasone Effect on Induction Delivery Interval at Term Randomized Controlled Trial

Mean time of interval between the initiation of induction and the delivery of the fetus in the two groups.

Mean time of duration of the first stage of labor in the two groups.

Mean time of duration of the second stage of labor in the two groups.

Mean time of duration of the third stage of labor in the two groups.

Mean of APGAR score at 1 and 5 minutes for fetus in the two groups.

Percentage of postpartum adverse effects in both group.

placenta previa/ödem

Conservative Surgical Novel Technique of Placenta Accreta in Menoufia University Hospital

Umbilical Cord Clamping: What Are the Benefits

Dexamethasone and Induction of Delivery

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