ANTEPARTUM HAEMORRHAGE - APH
PLACENTA PRAEVIA
Placenta praevia diagnosis.
Obstet
Gynecol. 1990 Nov;76(5
Pt 1):759-62
Accuracy and safety of transvaginal
sonographic placental localization. Department of Obstetrics and Gynecology,
Erasmus University-Academic Hospital Dijkzigt, Rotterdam, The Netherlands. Transvaginal
sonographic localization of the placenta was performed in 100 patients
suspected of having placenta previa. Except in one patient, the diagnosis
was confirmed at cesarean delivery in all cases of placenta previa found by
sonography before delivery, resulting in a 93.3% predictive value of a
positive test. The predictive value of a negative test was 97.6%; in two
patients a low-insertion placenta diagnosed by sonography was found to be a
placenta previa at delivery. The sensitivity and specificity of the
technique were 87.5 and 98.8%, respectively. Although in some instances
transvaginal sonography was performed during vaginal hemorrhage, aggravation
of bleeding was never observed. Transvaginal sonographic localization of the
placenta proved to be an accurate and safe diagnostic procedure.
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