Authors :
Ahmed Saber Mohammed Awajah; Ahmed Kamal Eldein Abaas; Tamer Mahmoud Asar and Ayman; Ahmed Abd El Hamid
Volume/Issue :
Volume 9 - 2024, Issue 1 - January
Google Scholar :
http://tinyurl.com/ac2xtmn7
Scribd :
http://tinyurl.com/2nteukwr
DOI :
https://doi.org/10.5281/zenodo.10598319
Abstract :
The objective of this study was to analyze the
accuracy of ultrasonography in diagnosing placenta
accreta and its variations, and to assess the influence of
prenatal diagnosis on our group of patients. Approaches:
A total of 146 women with placenta previa were enrolled
in the study. These ladies underwent both transabdominal
and transvaginal ultrasound examinations. The
ultrasound examination, utilizing grayscale and
color/power Doppler imaging, specifically targeted
placental attachment disorder (PAD) and followed a 'two-
criteria system.' This system required the identification of
at least two of the following signs: absence or abnormality
of the clear space behind the placenta, weakening or
disruption of the boundary between the uterus and
bladder, turbulent blood-filled spaces in the placenta with
fast flow, thickness of the uterine muscle less than 1 mm,
increased blood supply to the boundary between the
uterus and bladder, absence of a blood vessel
arrangement parallel to the base of the placenta, and/or
irregular blood flow within the placenta. The conclusive
diagnosis was affirmed through Cesarean section at the
time of childbirth. The maternal outcomes of cases
diagnosed during pregnancy were compared to those
diagnosed during childbirth.
Keywords :
Keywords:- Placenta Accreta; Ultrasound; Disorders of Placental Attachment; Placenta Previa.
The objective of this study was to analyze the
accuracy of ultrasonography in diagnosing placenta
accreta and its variations, and to assess the influence of
prenatal diagnosis on our group of patients. Approaches:
A total of 146 women with placenta previa were enrolled
in the study. These ladies underwent both transabdominal
and transvaginal ultrasound examinations. The
ultrasound examination, utilizing grayscale and
color/power Doppler imaging, specifically targeted
placental attachment disorder (PAD) and followed a 'two-
criteria system.' This system required the identification of
at least two of the following signs: absence or abnormality
of the clear space behind the placenta, weakening or
disruption of the boundary between the uterus and
bladder, turbulent blood-filled spaces in the placenta with
fast flow, thickness of the uterine muscle less than 1 mm,
increased blood supply to the boundary between the
uterus and bladder, absence of a blood vessel
arrangement parallel to the base of the placenta, and/or
irregular blood flow within the placenta. The conclusive
diagnosis was affirmed through Cesarean section at the
time of childbirth. The maternal outcomes of cases
diagnosed during pregnancy were compared to those
diagnosed during childbirth.
Keywords :
Keywords:- Placenta Accreta; Ultrasound; Disorders of Placental Attachment; Placenta Previa.
