Diagnostic Precision of Color Doppler Ultrasound for Antenatal Diagnosis of Placenta Accreta Compared to Histopathology in Obstetric Practice

Shumaila Najeeb; Samina; Nasrin Mumtaz; Yasmeen Gul; Rabia Sadaf; Arfa Naeem

doi:10.29054/apmc/2022.1154

Shumaila Najeeb Associate Professor Department of Histopathology, Mohiuddin Islamic Medical College, AJK Pakistan
Samina Professor Department of Gynaecology & Obstetrics Jinnah Medical College Peshawar, Pakistan
Nasrin Mumtaz Senior Registrar Department of Obstetrics and Gynecology Makran Medical College Turbat Pakistan
Yasmeen Gul Assistant Professor Department of Obstetrics and Gynecology Meer Jam Ghulam Qader Teaching Hospital Hub Balochistan Pakistan
Rabia Sadaf Assistant Professor, Pathology Department, Akhtar Saeed Medical College Rawalpindi Paksitan
Arfa Naeem Senior Demonstrator Pathology and Central Park Medical College & Teaching Hospital Pakistan

DOI: https://doi.org/10.29054/apmc/2022.1154

Keywords: Color doppler ultrasound, Histopathology, Maternal health, Placenta accreta, Prenatal diagnosis

Abstract

Background: Placenta accreta is a serious obstetric complication characterized by abnormal placental attachment, leading to significant maternal and fetal risks. Early detection is crucial for improving management outcomes. Objective: This study aimed to evaluate the diagnostic precision of color doppler ultrasound for the antenatal diagnosis of placenta accreta compared to histopathological findings. Study Design: Cross-sectional study Setting: Department of Gynaecology and Obstetrics, Makran Medical College, Turbat Duration: From June 2021 to December 2021. Methods: A total of 130 pregnant women suspected of having placenta accreta underwent Color Doppler Ultrasound between 28 and 36 weeks of gestation. Histopathological examination of the placenta post-delivery served as the gold standard for diagnosis. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the ultrasound findings were calculated. Results: Color Doppler Ultrasound identified 50 cases of placenta accreta, with histopathology confirming 45. The sensitivity, specificity, PPV, and NPV of Color Doppler Ultrasound were found to be 89.4%, 90.4%, 84.0%, and 93.7%, respectively. Conclusion: Color Doppler Ultrasound is an effective diagnostic tool for the antenatal detection of placenta accreta, enhancing preoperative planning and reducing maternal and fetal complications.