CORRELATION BETWEEN ULTRASOUND FINDINGS AND INTRAOPERATIVE FINDINGS OF MORBIDLY ADHERENT PLACENTA
Main Article Content
Keywords
morbidly adherent placenta, maternal outcomes and complications, correlation, ultrasound, intraoperative confirmation, diagnosis
Abstract
Introduction: Morbidly adherent placenta (MAP) presents significant risks during pregnancy, necessitating accurate diagnosis for effective management. This study investigates the correlation between ultrasound findings and intraoperative confirmation of MAP.
Methodology: A cross-sectional study was conducted at Obstetrics and Gynecology department Liaquat National Hospital, Karachi, Pakistan. Fifty seven pregnant women with suspected MAP underwent ultrasound examination followed by cesarean section. Ultrasound findings and intraoperative observations were compared, and statistical analysis was performed to assess correlation.
Results: Ultrasound findings suggestive of MAP were observed in 75% of participants, with specific features including placental tissue beyond the uterine cavity (58.3%) and parametrial invasion (33.3%). Intraoperative confirmation of MAP was achieved in 66.7% of cases. The Spearman correlation coefficient between ultrasound and intraoperative findings was 0.78 (p < 0.001), indicating a strong positive correlation. Sensitivity and specificity of ultrasound were 90% and 85%, respectively.
Conclusion: The study shows the reliability of ultrasound in diagnosing MAP, offering clinicians’ valuable insights for timely intervention and management. Routine ultrasound screening in at-risk pregnant women can improve maternal outcomes and mitigate complications associated with MAP.
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Dr. Nayab Mohiuddin
Obstetrics and Gynecology Department, Liaquat National Hospital and Medical College, Karachi – Pakistan
Dr. Uzma Shabab
Obstetrics and Gynecology Department, Liaquat National Hospital and Medical College, Karachi – Pakistan
Dr. Nudrat Tanveer
Obstetrics and Gynecology Department, Liaquat National Hospital and Medical College, Karachi – Pakistan