The role of Uterine Artery Doppler Velocimetry in The Diagnosis of Morbidly Adherent Placenta | ||
| Al-Azhar International Medical Journal | ||
| Volume 2025, Issue 5, May 2025, Pages 68-72 PDF (281.22 K) | ||
| Document Type: Original Article | ||
| DOI: https://doi.org/10.21608/aimj.2025.446555 | ||
| Authors | ||
| Farid Ahmed Kassab; Moustafa Mohammed Ellaban; Mohamed Nasser Saber Ahmed* | ||
| Department of Obstetrics and Gynecology, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||
| Abstract | ||
| Background: Placental attachment disorders (PAD) encompasses a spectrum of conditions distinguished by abnormal adherence of placenta to the implantation site. Aim: To determine the role of uterine artery Doppler velocimetry in the identification of morbidly adherent placenta together with other diagnostic criteria of placenta accreta and thus help in early diagnosis and management of placenta accreta and decrease the maternal mortality. Patients and methods: This investigation was prospective cohort investigation, and has been carried out on 60 cases of pregnant females with one or more previous caesarian deliveries and with placenta previa previously diagnosed by Ultrasound all of them having singleton fetuses between 28 and 34 weeks of pregnancy, and has been carried out at the department of obstetrics and gynecology faculty of medicine Al-Azhar University. Results: At cut off point .51, Resistive index (RI) has 87% sensitivity and 82% specificity for prediction of placenta accreta. At the cut-off point, .83, the resistive index (RI) has 97% sensitivity and 78% specificity for the prediction of placenta accreta. Conclusion: Uterine artery Doppler velocimetry is a good instrument in the diagnosis of placenta previa accreta in cases of placenta previa. We found that uterine artery Doppler is additionally beneficial in the prediction of complications, both fetal and maternal. | ||
| Keywords | ||
| Morbidly Adherent Placenta; Uterine Artery Doppler velocimetry; placenta previa | ||
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