Detection of Placenta Acreta in the First Trimester by 2d Transvaginal Ultrasound and Colour Doppler

Ahmed Saber Mohammed Awajah; Ahmed Kamal Eldein Abaas; Tamer Mahmoud Asar and Ayman; Ahmed Abd El Hamid1

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Publication Date: 2024/01/31

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.

DOI: https://doi.org/10.5281/zenodo.10598319

PDF: https://ijirst.demo4.arinfotech.co/assets/upload/files/IJISRT24JAN850.pdf

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