Document Type : Original Article
Authors
1
Professor of Gynecology & Obstetrics, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
2
Lecturer of Gynecology & Obstetrics, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
3
MBBCh, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
https://doi.org/10.21608/aimj.2025.446564
Abstract
Background: If a woman has a history of cesarean sections, she is more likely to experience placenta previa and placenta accreta.
Aim and objectives: To ascertain if placental morphological traits and uterine artery doppler are risk factors for mother and fetal outcomes in complex pregnancies with placenta previa or placenta previa accreta.
Patients and methods: Al-Azhar University Al Hussien Hospital's Gynecology and Obstetrics department saw 150 pregnant women between April and November 2022 for this prospective observational clinical study. The subjects were split into three categories.
Results: Among the three examined groups, there was a statistically significant distinction (p<0.05) in the left and right pulsatility index. At 1 minute and 5 minutes, there was a p<0.001, <0.001, 019, and.011 difference in the groups' GA, birth weight, and Apgar score, respectively. There was a significant difference between the groups with respect to CS hysterectomy, blood transfusion, bladder injury, premature labor, ICU, and NICU (p<0.001). That they occurred far less frequently in Group I and considerably more frequently in Group III than in Group II. No maternal mortality occurred in any of the three categories.
Conclusion: Uterine artery doppler is highly diagnostic for placenta previa and placenta previaaccreta, and predicts maternal and fetal complications, with higher lacunae, abnormal vascularity, and uterine PI significantly predicting poor maternal outcomes.
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