Management Of Placenta Previa Cases And Determination Of Hospitalization Criteria

Study Overview
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Brief Summary
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Placenta previa cases are one of the difficult groups of patients to manage in modern obstetrics. When the literature is evaluated extensively, no clear information can be seen especially in terms of hospitalization time. Inpatient follow-up of this patients has negative effects like hospital infections in terms of the patient, workload in terms of health personnel and financial losses in terms of the country's economy. Placenta previa cases are complicated patients in which generalizations cannot be easily performed and they should be monitored at third level hospitals. In addition, care should be personalized considering the many reasons. In this study, placenta previa cases will be followed up at 28th gestational week and evaluated at 32nd week by vaginal ultrasonography and MRI and this follow-up will continue until delivery. Thus, in this study, it was aimed to determine the parameters that would allow systematic personalization of health service in this particular patient group by making risk assessment of placenta previa cases.

Official Title
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Management Of Placenta Previa Cases And Determination Of Hospitalization Criteria

Conditions
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Placenta Previa

Intervention / Treatment
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* Diagnostic Test: Vaginal Ultrasonography
* Diagnostic Test: Magnetic Resonance Imaging


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Monitoring of placenta previa To apply before the 28th week To have a low-risk second trimester screening test No malformation detected in the anomaly screening Exclusion Criteria: Multiple pregnancies Pregnancy complicated with preeclampsia Pregnancy complicated by gestational hypertension Pregnancy complicated by gestational diabetes mellitus
Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Intervention Model: Single Group Assignment
Interventional Model Description: Placenta previa cases will be followed up at 28th gestational week and evaluated at 32nd week by vaginal ultrasonography and MRI and this follow-up will continue until delivery.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Placenta Previa<br>Placenta previa cases will be evaluated at 32nd week by vaginal ultrasonography and MRI. | Diagnostic Test: Vaginal Ultrasonography<br>* Placenta previa cases will be evaluated at 32nd week by vaginal ultrasonography for invasion anomaly and preterm birth.<br>Diagnostic Test: Magnetic Resonance Imaging<br>* Placenta previa cases will be evaluated at 32nd week by MRI for invasion anomaly and preterm birth.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The number of placental invasion pathologies | Placental invasion pathologies detected during delivery will be evaluated. | 1 day | 
| The number of preterm birth | The relation between preterm birth and placental invasion pathologies will be assessed. | 1 day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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placenta previa, placental invasion anomalies, timing of the birth