Evaluating PPAP Scoring System for Predicting Adherent Placenta in Women with Placenta Previa

Document Type : Original Article

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1 Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

2 Department of Radiology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Abstract

Background: Accreta, increta and percreta are all examples of morbidly adherent placenta. This new score, the placenta previa with attached placenta [PPAP] score, was developed from ultrasound and magnetic resonance imaging [MRI] data for pregnant women who had both placenta previa and an adhering placenta.
Aim of the work: The purpose of this future research was to assess the effectiveness of a novel scoring system for identifying placenta previa with an attached placenta.  
Patients and Methods: This prospective cohort study included 100 cases. It was conducted at Faculty of Medicine, of Al-Azhar University. The duration of the study was from December 2020 to December 2022. There were also MRI and ultrasound tests performed at this time. Two things go into determining your PPAP score: [1] any prior uterine surgery [including a cesarean section, a surgical abortion, or uterine reconstruction], and [2] the findings of an ultrasound [US] or [MRI].
Results: PPAP score in detection of having adherent placenta reported a sensitivity of 88.24% and specificity of 91.57%.
Conclusion: PPAP scoring system is effective and reliable system for diagnosis of adherent placenta in females with placenta previa.

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