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Uterine Preservation in the Management of Placenta Accreta Spectrum Disorders
Sponsor: University of Pennsylvania
Summary
This study for the conservative management of placenta accreta spectrum disorders (PAS), which are a major cause of maternal morbidity and mortality. The most common management strategy for PAS in the United States is a preterm cesarean-hysterectomy. However, accumulating data show that conservative management is safer and is preferred by some patients. In selected participants (n=15) who desire uterine preservation, the investigators provide the option of conservative management, which will be defined as leaving the placenta in the uterus after delivery of the infant. This is a single-arm single-site pilot study where all participants will be carefully monitored during a standard postpartum inpatient stay and with outpatient follow-up until the uterus is empty.
Key Details
Gender
FEMALE
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
15
Start Date
2025-04-21
Completion Date
2030-12-31
Last Updated
2025-04-30
Healthy Volunteers
No
Conditions
Interventions
Conservative/Expectant Management
At time of caesarean section, participants will not have a hysterectomy, but will be treated clinically to preserve their uterus.
Locations (1)
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, United States