Diagnostic Role of Doppler Ultrasound in Morbidly Adherent Placenta (MAP)

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