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Corresponding Author

Mahmoud Hamada Gharieb El Maadawy

Document Type

Original Article

Abstract

Background: The aberrant adhesion of placental villi to the underlying myometrium in the absence of decidua basalis is known as placenta accreta. Ignoring placenta accreta and not planning for the management of it can result in severe bleeding, potentially fatal, acute respiratory distress, widespread coagulopathy, renal failure, and emergent hysterectomy.

Aim: To assess creatine kinase and Doppler ultrasound's potential as indicators for accurate diagnosis of placenta.

Methods: Samples for this prospective observational study were gathered using a systematic random technique, and 100 patients were chosen from the obstetrics and gynecology outpatient clinic at Al-Azhar University Hospitals.

Results: Compared to women without placenta accreta, individuals with placenta accreta tend to be older. There was no discernible difference when comparing the two groups' BMI, GA at delivery, and GA at assessment.

Conclusion: The CK test is unreliable; an ultrasound examination would be beneficial; a combination of the two is preferable; in any event, assistance in searching for the ideal is required. However, as of right now, this mixture has not passed the gas test; thus, it is worth looking for further biochemical markers. In addition, comparing different radiological modalities will help us pinpoint additional cases of known MAP cases, which will reduce maternal mortality and horrible outcomes. It will also help eliminate the fear associated with giving consent for a hysterectomy before surgery. In the past, patients who did not experience a placental attack did not overcome that venture.

Keywords

Placenta accreta; Creatine Kinase; Doppler Ultrasound

Subject Area

Obstetrics and Gynecology

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