Diagnostic Role of Doppler Ultrasound in Morbidly Adherent Placenta (MAP)
Sarah Fatima, Shafaq Ismail Makhdoom, Sasui Phulpoto, Areesha Qamar, Masooma Achakzai, Sadiq Jan
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ABSTRACT
Introduction: The capability to diagnose pathologically morbid
adherent placenta has transformed over the preceding era. Depending on the
knowledge and availability of equipment, ultrasound (ultrasound), MRI or a
combination of these methods are currently used. Ultrasound is popular for its
low cost and availability, and is broadly used to detect location of placental and
possible anomalous growth.
Place and Duration: In the Gynecology Department of Civil
Hospital Quetta for six-months duration from March 2021 to September
2021
Methods: 72 total pregnant women booked on the third
trimester of pregnancy (diagnosed with early ultrasound) with diagnosis of the
placenta previa were selected. Women in the primigravid group and females with
pregnancies complicated by heart disease, diabetes and hypertension were omitted
from the analysis. Color Doppler ultrasound was performed in all patients and
the absence or presence of morbidly adherent placenta previa was detected. The
results of the color Doppler ultrasound examination were correlated with the
results of the surgical treatment (concluding it as the gold standard).
Results: 28.21 ± 2.70 years was the mean age of the
patients. Ultrasound revealed MAP in 9 (12.5%) females. The ultrasound positive
patients had 08 true positives and 01 false positives. Of the 63 ultrasound
negative patients, 61 were true negative (P≤0.05)
and false negative patients were two patients. The calculated specificity,
sensitivity, negative and positive predictive value and analytical accurateness
of the color Doppler test in the prenatal MAP diagnosis were rated at
97.21%,86.8%, 97.89%, 86.8%% and 98.95%, respectively.
Conclusions: In this study, it was found that the
diagnostic accurateness of color Doppler ultrasound is higher in the prenatal analysis
of morbidly adherent placenta in pregnant women with placenta previa.
Keywords: Sensitivity, non-invasive imaging modality
and Placenta accreta.