Role of Doppler ultrasound and Creatine Kinase as a Biochemical Marker in Diagnosis of Placenta Accreta

Fayed, M.R.; Mourad, Aw.; Mahmoud, Mona A.; Mohamed, A.A.

doi:10.21608/bjas.2020.135124

Cited by 2 publications

(4 citation statements)

References 6 publications

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“…Wong HS and Warshak CR note that the anterior segment of the lower uterus is the communal place of the placenta accrete, and because of its superficial position, the color Doppler US is valuable for representing placental blood flow to the interface of bladder [13][14] . According to Cali G et al Color Doppler diagnostic accuracy was established in patients with MAP and criteria for distinguishing accreta from percreta were defined [15][16] . The placental lacunae, first defined by Williams and Finberg in 1992, was the predictive discovery of the PA by ultrasound.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Role of Doppler Ultrasound in Morbidly Adherent Placenta (MAP)

Fatima¹,

Makhdoom²,

Phulpoto³

et al. 2021

PJMHS

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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. Keywords: Sensitivity, non-invasive imaging modality and Placenta accreta

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Section: Discussionmentioning

confidence: 99%

Diagnostic Role of Doppler Ultrasound in Morbidly Adherent Placenta (MAP)

Fatima¹,

Makhdoom²,

Phulpoto³

et al. 2021

PJMHS

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“… CK and CK-MB did not show statistical significance (P > 0.05). Fayed et al 57 2020 Third CK 50 Prospective None. CK was a doubtful test alone for antenatal diagnosis of PAS.…”

Section: Diagnosis Of Placenta Accreta Spectrummentioning

confidence: 98%

“…Therefore, it is considered that the increase in maternal serum troponin I and NT-proBNP may be due to the increase in neovascularization in patients with placenta previa accreta. Fayed et al 57 found that the serum CK value of pregnant women having abnormal placentation was higher than that of pregnant women having normal placentation, 1/19 patients (5.26%) with normal placenta and 10/31 patients (32.26%) with abnormal placentation had elevated serum CK (>160 U/l), which was used as the diagnostic threshold. The accuracy, affectability, specificity, positive prognostic value, and negative prognostic value of the corresponding diagnosis of abnormal placentation were 55%, 30%, 95%, 90%, and 45%, respectively.…”

Section: Diagnosis Of Placenta Accreta Spectrummentioning

confidence: 99%

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Placenta Accreta Spectrum Diagnosis Challenges and Controversies in Current Obstetrics: A Review

Arakaza¹,

Zou²,

Zhao³

2023

IJWH

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Background Placenta accreta spectrum (PAS) is the most common obstetric complication in current obstetrics in which the placenta is fully or partially attached to the uterine myometrial layer at delivery. This is commonly due to the deficiency of the uterine interface between the uterine endometrial and myometrial layers leading to abnormal decidualization at the uterine scar area, which permits the abnormally placental anchoring villous and trophoblasts, deeply invade the myometrium. The prevalence of PAS is globally at rising trends every day in modern obstetrics originally due to the high increasing rate of cesarean sections, placenta previa, and assisted reproductive technology (ART). Thus, the early and precise diagnosis of PAS is imperative to prevent maternal intrapartum or postpartum bleeding complications. Objective The main aim of this review is to debate the current challenges and controversies in the routine diagnosis of PAS diseases in obstetrics. Data Source We retrospectively reviewed the recent articles on different methods of diagnosing PAS in PubMed, Google Scholar, Web of Science, Medline, Embase, and other website databases. Results Despite that, the standard ultrasound is a reliable and key tool for the diagnosis of PAS, the lack of ultrasound features does not exclude the diagnosis of PAS. Therefore, clinical assessment of risk factors, MRI tests, serological markers, and placental histopathological tests are also indispensable for the prediction of PAS. Previously, limited studies reached a high sensitivity rate of diagnosis PAS in appropriate cases, while many studies recommended the inclusion of different diagnosis methods to improve the diagnosis accuracy. Conclusion A multidisciplinary squad with well-experienced obstetricians, radiologists, and histopathologists should be involved in the establishment of the early and conclusive diagnosis of PAS.

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Role of Doppler ultrasound and Creatine Kinase as a Biochemical Marker in Diagnosis of Placenta Accreta

Cited by 2 publications

References 6 publications

Diagnostic Role of Doppler Ultrasound in Morbidly Adherent Placenta (MAP)

Diagnostic Role of Doppler Ultrasound in Morbidly Adherent Placenta (MAP)

Placenta Accreta Spectrum Diagnosis Challenges and Controversies in Current Obstetrics: A Review

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