[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100624223":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":10,"centralContacts":28,"locations":10,"responsibleParty":34,"collaborators":10,"id":38,"slug":39,"hasResults":40,"nctId":41,"briefTitle":42,"officialTitle":43,"acronym":44,"eligibilityCriteria":45,"healthyVolunteers":40,"sex":46,"minAge":47,"maxAge":48,"enrollmentInfo":49,"targetDuration":10,"studyType":52,"phases":10,"briefSummary":53,"conditions":54,"keywords":56,"overallStatus":60,"whyStopped":10,"lastUpdateSubmitDate":61,"lastUpdatePostDateStruct":62,"startDateStruct":65,"completionDateStruct":67,"leadSponsor":69,"locationsCount":10},{"fullName":5,"class":6},"Gaziantep City Hospital","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Spinal Anesthesia",null,"This cohort includes pregnant patients diagnosed with placenta accreta spectrum who underwent cesarean delivery under spinal anesthesia as part of routine clinical care. The anesthetic technique was selected by the multidisciplinary clinical team based on standard institutional practice and individual patient characteristics. No experimental intervention was applied for research purposes.",[13],"Procedure: spinal anesthesia",{"label":15,"type":10,"description":16,"interventionNames":17},"General Anesthesia","This cohort includes pregnant patients diagnosed with placenta accreta spectrum who underwent cesarean delivery under general anesthesia as part of routine clinical care. The anesthetic technique was selected by the multidisciplinary clinical team based on standard institutional practice and individual patient characteristics. No experimental intervention was applied for research purposes.",[18],"Procedure: General Anesthesia",[20,25],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":10},"PROCEDURE","spinal anesthesia","Spinal anesthesia administered for cesarean delivery as part of routine clinical care in pregnant patients with placenta accreta spectrum. The technique was chosen by the clinical team based on standard institutional practice and patient condition, not for research assignment.",[9],{"type":21,"name":15,"description":26,"armGroupLabels":27,"otherNames":10},"General anesthesia was administered for cesarean delivery in pregnant patients with placenta accreta spectrum as part of routine clinical care. The anesthetic technique, including airway management, induction agents, and maintenance strategy, was selected by the attending anesthesia team according to institutional standards and the patient's clinical condition. The intervention was not assigned for research purposes.",[15],[29],{"name":30,"role":31,"phone":32,"phoneExt":10,"email":33},"Recep Karakaşoğlu, MD","CONTACT","+905364668718","erecep_1992@hotmail.com",{"type":35,"investigatorFullName":36,"investigatorTitle":37,"investigatorAffiliation":5,"oldNameTitle":10,"oldOrganization":10},"PRINCIPAL_INVESTIGATOR","Recep Karakaşoğlu","Principal Investigator","100624223","spinal-versus-general-anesthesia-in-pregnancies-with-placenta-accreta-spectrum-a-retrospective-comparative-study-100624223",false,"NCT07406841","Spinal Versus General Anesthesia in Pregnancies With Placenta Accreta Spectrum: A Retrospective Comparative Study","Comparison of Spinal and General Anesthesia on Maternal and Neonatal Outcomes in Pregnancies With Placenta Accreta Spectrum: A Retrospective Study","SAGA-PAS","Inclusion Criteria:\n\n* Pregnant patients diagnosed with placenta accreta spectrum (PAS), Undergoing elective cesarean delivery, Receiving either spinal anesthesia or general anesthesia during cesarean section, Singleton pregnancy, Availability of complete medical and anesthesia records related to surgery and perioperative management\n\nExclusion Criteria:\n\nPatients without a diagnosis of PAS, Emergency (non-elective) cesarean deliveries, Use of anesthesia techniques other than spinal or general anesthesia, Multiple pregnancy (twins or more) ,Incomplete or missing medical\u002Fanesthesia records, Missing key perioperative or neonatal outcome data","FEMALE","18 Years","45 Years",{"count":50,"type":51},50,"ESTIMATED","OBSERVATIONAL","Placenta accreta spectrum (PAS) is a serious pregnancy complication in which the placenta grows abnormally into the uterine wall. This condition is associated with a high risk of severe bleeding, need for blood transfusion, hysterectomy, and maternal complications during cesarean delivery.\n\nThis study aims to compare spinal anesthesia and general anesthesia in pregnant women diagnosed with placenta accreta spectrum who underwent cesarean delivery. The researchers reviewed existing medical records to evaluate differences in maternal and neonatal outcomes between the two anesthesia approaches.\n\nThe primary outcomes include changes in hemoglobin levels before and after surgery, the need for uterotonic medications during and after the operation, and newborn Apgar scores. Because this is a retrospective observational study, no new treatments were given, and all data were collected from routine clinical care records.\n\nThe findings are expected to help guide anesthetic decision-making in PAS cases, improve maternal and neonatal safety, and contribute to the international scientific literature on this topic.",[55],"Placenta Accreta Spectrum",[57,58,22,59],"Placenta accreta spectrum","PAS","general anesthesia","NOT_YET_RECRUITING","2026-02-11",{"date":63,"type":64},"2026-02-12","ACTUAL",{"date":66,"type":51},"2026-02-01",{"date":68,"type":51},"2026-03-30",{"name":5,"class":6}]