Prediction of preeclampsia by mean arterial pressure and waist circumference
Journal Title: The New Indian Journal of OBGYN - Year 2019, Vol 6, Issue 1
Abstract
Objective: To evaluate the role of mean arterial pressure and antenatal waist circumference in early detection of preeclampsia. Methods: One hundred ninety (190) antenatal women were studied between 14 to 16 weeks of gestation for a period of one year. Mean arterial pressure was calculated by Burton’s formula and waist circumference was measured. Mean arterial pressure of 90 mm Hg or more and waist circumference of 80 cm or more was taken as cut off. Results: Out of 190 women 30 women had mean arterial pressure >90 mm Hg and out of 30 women 17(56.6%) developed preeclampsia while out of 160 women with mean arterial pressure <90 mm Hg only 21(13.3%) developed preeclampsia. Out of 80 women with waist circumference >80 cm 28 women (35%) developed preeclampsia while out of 110 women with waist circumference < 80 cm only 10(9%) developed preeclampsia. Conclusion: Mean arterial pressure is a good predictor of preeclampsia with high specificity 91.4% and negative predictive value of 86.8%. Waist circumference of 80 cm or more upto 16 weeks is a precise method of predicting preeclampsia with high sensitivity of 73.6% and negative predictive value of 90.9%.
Authors and Affiliations
Anupama Upadhyay, Meena Dayal
Large haematoma in uterovesical pouch following vaginal delivery
Puerperal haematomas following delivery pose a great threat to the patient and a challenge to the obstetricians. A 26 years old female with parity 2 attended at day 1 of puerperium following vaginal delivery in a periphe...
Radical hysterectomy – its trend and role in treatment of carcinoma cervix
None
Obstetric acute kidney injury a retrospective study
Objective: To study the prevalence, aetiology and prognosis of obstetric acute renal failure (ARF). Methodology: This retrospective study was carried out in International Hospital, Guwahati from January 2002 to December...
Acute haemoperitoneum due to broad ligament tears and utero ovarian vessel rupture secondary to endometriosis
Acute haemoperitoneum in pregnancy due to tears in broad ligament and utero-ovarian vessel rupture is quite rare. Endometriosis is an important pelvic pathology in many such cases. We present a case of primigravida, a kn...
The unique case of uterine torsion
Uterine torsion as such is a rare entity. Many times it is as good as once in a life time experience for the gynecologist. The uterine torsion in gravid uterus per say is more of the exaggerated form of axial rotation. B...