Can uterine artery Doppler Be used to Predict Placenta accreta Spectrum disorders (PAS-disorders) in patients with placenta Previa?

Document Type : Original Article

Authors

1 Department of Obstetrics & Gynecology, Minia University- Faculty of Medicine.

2 Department of Obstetrics and Gynaecology and Dean of Faculty of Medicine , Minia University)

3 Obstetrics and Gynecology, Faculty of Medicine – Minia University, Egypt.

4 Department of Gynaecology & Obst., El-Minia Faculty of Medicine

Abstract

Abstract

Background: Placenta accreta is a disorder in which there is adhesion of a portion or the entire placenta to the uterine wall. Massive bleeding after placental separation, which can result in shock, renal failure, adult respiratory distress syndrome, and even death (1). The aim of the study is to evaluate the value of uterine artery Doppler velocimetry in Suspecting placenta accreta spectrum in patients with placenta previa.

Methods: Between January 2023 and December 2023, a cross-sectional observational study was conducted at Minia Maternity University Hospital's Department of Obstetrics and Gynecology. 50 pregnant women with placenta previa were included . Patients underwent a thorough history taking, an ultrasound examination, and a color Doppler.

Results: The mean age of cases was 31.6 ± 4.3, ranging from 22:41 years and 78% had average BMI.

The mean PI of uterine artery Doppler in PAS cases was 0.73±0.16, and the mean RI was 0.52±0.14. The mean PI of the non-morbidly adherent placenta was 0.87 ±0.40, and the mean RI was 0.62±0.30. Conclusion: color Doppler and grayscale ultrasonography are useful tools for diagnosing placenta accreta. The uterine artery Doppler may be able to predict placenta accreta.

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Minia Journal of Medical Research

Articles in Press, Accepted Manuscript
Available Online from 18 February 2024

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