DIAGNOSTIC RELAIBILITY OF IMAGING TECHNIQUES TO DETECT MORBIDLY ADHERENT PLACENTA IN PATIENTS WITH MAJOR DEGREE PLACENTA PRAEVIA

Shilendra Hariparsad, Harry Ramnarain

Abstract


Antepartum haemorrhage is a significant aetiology of maternal and fetal morbidity and mortality. One of the most important causes is placenta praevia and is increasing with the rising incidence of caesarean section (c/s) operations together with advanced maternal age. It is associated with tremendous burden on† health resourcea.

Placenta praevia exists when the placenta is inserted in the lower segment of the uterus. Major degree placenta praevia† is when the placenta is covering the internal os marginally or completely.

The objective of this study was to assess and compare the sensitivity and specificity of Gray scale ultrasonography and colour flow Doppler† imaging to Magnetic Resonance Imaging ( MRI ) in the diagnosis of morbidly adherent placenta praevia ( MAPP ) and to offer guidelines with regards to management options in patients at Inkosi Albert Luthuli Central Hospital.

A five year retrospective analysis of patientís charts†is to be†undertaken.