Effects of Peri Partum Integrated Nursing Care Versus Routine Care in Placenta Previa : A Randomized Controlled Trail

Study Overview
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Brief Summary
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At our institution, the annual number of placenta previa was 494 cases (1.7%); of whom 95 cases (19.2%) were proved to have a placenta accreta. Perioperatively, they are subjected to regular care of a tertiary university hospital. This study aims to determine the effectiveness of peri partum integrated nursing care for the patients with placenta previa versus routine care.

Detailed Description
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Study design: Experimental design: (randomized control trail) Setting: This study will be conducted at Woman's Health Hospital, Assiut University, emergency department and inpatient department. Sample: A convenience sample will be used, the total sample will include (100) patients with placenta previa, divided into two group1:1 group 1: 50 patients study group group2: 50 patients control group

Official Title
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Effects of Peri Partum Integrated Nursing Care Versus Routine Care in Placenta Previa : A Randomized Controlled Trail

Conditions
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Placenta Previa Total, Nursing Role

Intervention / Treatment
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* Procedure: Integrated Nursing care of placenta previa


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Pregnant women with diagnosis of placenta previa. Exclusion Criteria: Other high risk pregnancy cases

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| peri partum integrated nursing care of placenta previa<br>Part (1) personal data: Part (2) baseline and characteristics of the patients participants: Tool II- An observation checklist: This tool is develop by researcher according to guideline of Royal College of Obstetricians and Gynaecologists, 2018), and divide into three main parts: preoperative, intraoperative and postoperative. Part (1) pre-operative: includes assessment of : patients general condition investigation reserved blood Hemoglobin level Impact of hysterectomy option. -9- Part (2) Intra-operative: Includes assessment of :- Investigation Vital signs Hypothermia Blood loss I.V fluid Blood gases Fetal condition and APGAR score. Part (3) Post-operative: Includes: maternal complication fetal complication psychological satisfaction | Procedure: Integrated Nursing care of placenta previa<br>* Phase I :( preparation phase) Phase II: (Implementation phase) includes Preoperative care , intraoperative care and postoperative care by a nurse. Phase III: (Evaluation phase)<br>|
| peri partum regular care of placenta previa<br>Routine nursing care of all cases of placenta previa (preoperative, intraoperative and postoperative).. | Procedure: Integrated Nursing care of placenta previa<br>* Phase I :( preparation phase) Phase II: (Implementation phase) includes Preoperative care , intraoperative care and postoperative care by a nurse. Phase III: (Evaluation phase)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Improved maternal and fetal well beings in cases of placenta previa | Adding an integrated nursing care to the regular care of cases of placenta previa | 2 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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placenta previa, Nursing, antepartum hemorrhage, randomized trial