The Accuracy Of 3D Color Ultrasonography for Detecting the Degree of Placenta Accreta Spectrum Invasion

NCT07250412 — Not applicable, Enrolling by invitation, 30 participants, Sohag University

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Registry	NCT07250412
Status	Enrolling by invitation
Phase	Not applicable
Study type	Interventional; na, single group, masking: none, diagnostic
Enrollment	30 (Estimated)
Sponsor	Sohag University (Other)
Conditions	Placenta Accrete Spectrum
Interventions	Cesarian section (Procedure)
Dates	start 2025-09-10, primary completion 2025-09-10, completion 2026-03-01 (estimated), first posted 2025-11-26, last updated 2025-11-26
Locations	1 site in Egypt

-Summary

To evaluate the correlation between preoperative ultrasound imaging findings by 3D Color Doppler Ultrasound and the intraoperative severity of Placenta Accreta Spectrum (PAS) disorders, in order to assess the diagnostic accuracy of sonographic markers and their utility in predicting the extent of placental invasion.

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+Arms and interventions

Arm	Type	Interventions	Description
Ultrasonography	Active comparator	Procedure: Cesarian section

Cesarian section (Procedure): Cesarian section for detection the degree of placenta Accreta spectrum invasion comparaple to 3D color Doppler

+Outcome measures

Primary outcomes

Correlation between preoperative ultrasound findings and the confirmed degree of Placenta Accreta Spectrum (PAS) severity (classified as accreta, increta, or percreta). o The classification will be based on intraoperative surgical findings. [Patient preg 28 wks compare finding intraoperative]
Correlation between preoperative ultrasound findings and the confirmed degree of Placenta Accreta Spectrum (PAS) severity (classified as accreta, increta, or percreta). o The classification will be based on intraoperative surgical findings. [Pt preg for more than 28wks preg and compare finding intraoperative]

+Eligibility

Sex: Female, ages: 16 Years to 45 Years

Inclusion Criteria: Pregnant women with clinical or ultrasound suspicion of PAS, including:

1. Placenta previa or low-lying placenta
2. History of previous cesarean section(s) or uterine surgery (e.g., myomectomy, D\&C) 2. Gestational age ≥ 28 weeks at the time of ultrasound evaluation 3. Undergoing planned cesarean delivery in the study hospital 4. Availability of preoperative ultrasound imaging performed using a standardized protocol.

   5\. Patient can provide informed Written consent and Agree to participate in the study

   \-

   Exclusion Criteria: Patients with incomplete or poor-quality ultrasound data 2. Unavailability of intraoperative confirmation of placental invasion 3. Patients with placental abruption or other causes of acute bleeding requiring emergency delivery without imaging 4. Loss to follow-up prior to delivery 5. Declined consent or withdrew participation from the study

   \-

+Locations (1)

Facility	City	Country	Status
Faculty of medecine Sohag university	Sohag	Egypt

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