Role of Sonography in Prenatal Evaluation of Placenta Accreta
Objective: To evaluate the diagnostic accuracy of gray scale and doppler examination in antenatal diagnosis of placenta accreta. Materials and Methods: This is a prospective study done in a tertiary care center having large number of obstetrical cases,Ziauddin University hospital during a period...
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| Format: | Article |
| Language: | English |
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Bahria Univerisy Health Sciences, Campus Karachi
2015-12-01
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| Series: | Journal of Bahria University Medical and Dental College |
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| Online Access: | https://jbumdc.bahria.edu.pk/index.php/ojs/article/view/140 |
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| author | Rahila Usman Sumayya Fatima Sadia Rashid Sehrish Mehmood Kashif Shazlee Kamran Hamid |
| author_facet | Rahila Usman Sumayya Fatima Sadia Rashid Sehrish Mehmood Kashif Shazlee Kamran Hamid |
| author_sort | Rahila Usman |
| collection | DOAJ |
| description |
Objective: To evaluate the diagnostic accuracy of gray scale and doppler examination in antenatal diagnosis of placenta accreta.
Materials and Methods: This is a prospective study done in a tertiary care center having large number of obstetrical cases,Ziauddin University hospital during a period of ten months from 12th August 2014 to 11th June 2015.Thirty seven pregnant high risk cases all with clinical suspicion of placenta accreta were subjected to sonographic evaluation using gray scale and color doppler imaging by senior radiologists. Presence of vascular lacunae with turbulent flow, loss of retro-placental clear space, vessels traversing the uterine serosa, thin out myometrium and interrupted retro-placental flow was evaluated sonographically. Maternal delivery records were reviewed for delivery outcomes and sonographic findings were confirmed at delivery on surgical and clinical findings.
Results: The diagnostic sensitivity of ultrasound for placenta accreta was 93.3% and specificity was 85.7%. Positive predictive value was 96.5% whereas negative predictive value of 75%.
Conclusion: Gray scale and color Doppler sonography has fairly good sensitivity for prenatal diagnosis of placenta accreta
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| format | Article |
| id | doaj-art-dc3221fe75b84f3c8ebc09b83633d0df |
| institution | DOAJ |
| issn | 2220-7562 2617-9482 |
| language | English |
| publishDate | 2015-12-01 |
| publisher | Bahria Univerisy Health Sciences, Campus Karachi |
| record_format | Article |
| series | Journal of Bahria University Medical and Dental College |
| spelling | doaj-art-dc3221fe75b84f3c8ebc09b83633d0df2025-08-20T02:45:07ZengBahria Univerisy Health Sciences, Campus KarachiJournal of Bahria University Medical and Dental College2220-75622617-94822015-12-0154Role of Sonography in Prenatal Evaluation of Placenta AccretaRahila UsmanSumayya FatimaSadia RashidSehrish MehmoodKashif ShazleeKamran Hamid Objective: To evaluate the diagnostic accuracy of gray scale and doppler examination in antenatal diagnosis of placenta accreta. Materials and Methods: This is a prospective study done in a tertiary care center having large number of obstetrical cases,Ziauddin University hospital during a period of ten months from 12th August 2014 to 11th June 2015.Thirty seven pregnant high risk cases all with clinical suspicion of placenta accreta were subjected to sonographic evaluation using gray scale and color doppler imaging by senior radiologists. Presence of vascular lacunae with turbulent flow, loss of retro-placental clear space, vessels traversing the uterine serosa, thin out myometrium and interrupted retro-placental flow was evaluated sonographically. Maternal delivery records were reviewed for delivery outcomes and sonographic findings were confirmed at delivery on surgical and clinical findings. Results: The diagnostic sensitivity of ultrasound for placenta accreta was 93.3% and specificity was 85.7%. Positive predictive value was 96.5% whereas negative predictive value of 75%. Conclusion: Gray scale and color Doppler sonography has fairly good sensitivity for prenatal diagnosis of placenta accreta https://jbumdc.bahria.edu.pk/index.php/ojs/article/view/140Placenta accreta, Sonography, Color Doppler, Sensitivity, Specificity |
| spellingShingle | Rahila Usman Sumayya Fatima Sadia Rashid Sehrish Mehmood Kashif Shazlee Kamran Hamid Role of Sonography in Prenatal Evaluation of Placenta Accreta Journal of Bahria University Medical and Dental College Placenta accreta, Sonography, Color Doppler, Sensitivity, Specificity |
| title | Role of Sonography in Prenatal Evaluation of Placenta Accreta |
| title_full | Role of Sonography in Prenatal Evaluation of Placenta Accreta |
| title_fullStr | Role of Sonography in Prenatal Evaluation of Placenta Accreta |
| title_full_unstemmed | Role of Sonography in Prenatal Evaluation of Placenta Accreta |
| title_short | Role of Sonography in Prenatal Evaluation of Placenta Accreta |
| title_sort | role of sonography in prenatal evaluation of placenta accreta |
| topic | Placenta accreta, Sonography, Color Doppler, Sensitivity, Specificity |
| url | https://jbumdc.bahria.edu.pk/index.php/ojs/article/view/140 |
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