The role of Uterine Artery Doppler Velocimetry in diagnosis of Placenta accreta and prediction of peripartum outcome in Patients with Placenta Previa.

Elkhateeb, Reham; Elsayed, Abdelhaleem; Hamdy, Mamdouh Tawfeek; Abdelrahim, Ahmed Rabie; Reda, Kareem Ahmed

doi:10.21608/mjmr.2025.360836.1908

The role of Uterine Artery Doppler Velocimetry in diagnosis of Placenta accreta and prediction of peripartum outcome in Patients with Placenta Previa.

Articles in Press

Document Type : Original Article

Authors

¹ Obstetrics and Gynecology, Faculty of medicine, Minia university

² Obstetrics and Gynecology, Faculty of Medicine, Minia University, Egypt.

³ Obstetrics & Gynecology Department , Faculty of Medicine, Minia University

⁴ Department of Obstetrics and Gynecology, Faculty of Medicine,minia university

⁵ Obstetrics & Gynecology Department, Faculty of Medicine, Minia University

10.21608/mjmr.2025.360836.1908

Abstract

Background:Since many cases of placenta previa that are identified midway through the pregnancy resolve later on, it is vital to find predictive signs for when placenta previa will resolve.It was suggested that factors from uterine artery velocimetry play a role.

Aim of the work: is to look at how well Uterine Artery Doppler Velocimetry can diagnose placenta accrete in patients who already have placenta previa, and how well it can predict the outcome for the mother and the baby in cases where placenta previa is complicated with placenta accrete.

Methodology:The sixty patients diagnosed with placenta previa were part of a prospective observational clinical study that comprised the study's methodology. Color Doppler and abdominal ultrasounds were performed. There was a comparison between the intraoperative surgical details and serial follow-up. Documentation of postoperative data was done.Included in the evaluation of pregnancy outcomes are HP results and specimens, in the case of a CS hysterectomy.

Results:Individuals diagnosed with PAS condition exhibited noticeably higher mean parity and CS rates. As opposed to patients without PAS, most cases with PAS had a placental bulge, focal exophytic mass, and a focal or complete loss of the retroplacental sonolucent zone.Cases using PAS had noticeably decreased mean PI and RI. Combining the resistance index with the plausibility index increased sensitivity to 90% and specificity to 72.5%

Conclusion; The sensitivity and specificity of uterine doppler are enhanced when the resistance index and pulsibity index are combined,leading to an improved function for this diagnostic tool in the detection of PAS.

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