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.
