%0 Journal Article
%T Evaluation of Different Ultrasonographic Modalities in the Diagnosis of Morbidly Adherent Placenta: A Cross-Sectional Study
%A Mostafa Hussein
%A Mohammed F. Ramadan Abd
%A Ahmad M. Abu-Elhassan
%A Ahmed M. Abbas
%A Alaa Eldin A. Youssef
%J Open Journal of Obstetrics and Gynecology
%P 405-416
%@ 2160-8806
%D 2019
%I Scientific Research Publishing
%R 10.4236/ojog.2019.94041
%X <strong>Objective:</strong><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"> To compare the accuracy of different ultrasonographic modalities;
two-dimensional ultrasound (2D-US), color Doppler and three-dimensional power
Doppler (3D-PD) in the antenatal diagnosis of the morbidly adherent placenta.</span></span></span><span><span><span style=\"font-family:&quot;\"> </span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><b><span style=\"font-family:Verdana;\">Setting:</span></b></span></span><span><span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\"> Obstetrics and Gynecology Department, Faculty of Medicine, Assiut
University, Assiut, Egypt. </span><b><span style=\"font-family:Verdana;\">Study Design: </span></b><span style=\"font-family:Verdana;\">A cross-sectional study</span></span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">. </span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><b><span style=\"font-family:Verdana;\">Methods: </span></b></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">All patients fulfill the inclusions criteria:
gestational age &gt; 28 weeks,</span></span></span><span><span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\"> previous one or more cesarean delivery, previous uterine surgery, placenta
previa, vitally stable patient and women accepted to participate in the study</span><b> </b><span style=\"font-family:Verdana;\">were included.</span><b> </b><span style=\"font-family:Verdana;\">All patients were evaluated using 2D-US, color
Doppler and 3D-PD before delivery. The final diagnosis was established by
laparotomy and by histopathology of hysterectomy sample if hysterectomy would
be done.</span></span></span></span><span><span><span style=\"font-family:&quot;\"> </span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><b><span style=\"font-family:Verdana;\">Results:</span></b></span></span><span><span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\"> One-hundred fifty patients were enrolled in the study. 2D-US has higher
sensitivity (86.96%) than 2D color Doppler (84.06%) and 3D-PD (79.71%) in the
diagnosis of placenta accreta. On the other hand, 3D-PD has slightly higher
specificity (83.95%) than color Doppler (82.72%) and
%K Color Doppler
%K 3D-Power Doppler
%K Placenta Accreta
%K Morbidly Adherent Placenta
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=91566