Clinical Research Directory

Inclusion Criteria: 1. Single gestation 2. Elective CS for placenta preiva (diagnosed by transvaginal ultrasound). 3. Muliparity (para 2 or more). Exclusion Criteria: 1. Morbidly adherent placenta: accrete, increta or percreta, diagnosed by abdominal and/or transvaginal ultrasound. • Ultrasonographic features of morbidly adherent placentas: * Loss of Retro-placental sonolucent zone. * Vascular lacunae. * Myometrial thinning. * Interruption of the bladder border. 2. More than 3 previous C.S. 3. Severely haemodynamic instablility needing immediate hysterectomy. 4. Patients with the cardiac, hepatic, renal or thromboembolic disease 5. Patients with coagulopathy: * Receiving anticoagulant therapy. * With thrombocytopenia or thrombasthenia. * Known coagulation factor defect. 6. Distorted uterus as unicornuate, bicornuate, fibroid uterus and adenomyosis uteri.