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


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.

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Prospective
  • Study Primary Completion Date: November 1, 2020

Detailed Description

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


  • Procedure: Integrated Nursing care of placenta previa
    • Phase I :( preparation phase) Phase II: (Implementation phase) includes Preoperative care , intraoperative care and postoperative care by a nurse. Phase III: (Evaluation phase)

Arms, Groups and Cohorts

  • peri partum integrated nursing care of placenta previa
    • 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
  • peri partum regular care of placenta previa
    • Routine nursing care of all cases of placenta previa (preoperative, intraoperative and postoperative)..

Clinical Trial Outcome Measures

Primary Measures

  • Improved maternal and fetal well beings in cases of placenta previa
    • Time Frame: 2 years
    • Adding an integrated nursing care to the regular care of cases of placenta previa

Participating in This Clinical Trial

Inclusion Criteria

  • Pregnant women with diagnosis of placenta previa. Exclusion Criteria:

  • Other high risk pregnancy cases

Gender Eligibility: Female

Minimum Age: 20 Years

Maximum Age: 40 Years

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Woman’s Health University Hospital, Egypt
  • Provider of Information About this Clinical Study
    • Principal Investigator: Professor Atef Darwish, Professor of Obstetrics and Gynecology – Woman’s Health University Hospital, Egypt
  • Overall Official(s)
    • Atef Darwish, Principal Investigator, Woman’s Health University Hospital

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