To study the role of mean arterial pressure, urine calcium creatinine ratio and uterine artery Doppler between 20 -24 weeks of gestation in predicting preeclampsia
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2018, Vol 5, Issue 2
Abstract
Introduction Preeclampsia affects 35 of all pregnancies19 and is a leading cause of maternal morbidity and mortality 12 of all maternal deaths and also leads to perinatal consequences The initial pathological changes of preeclampsia begin in the late first trimester leading to chronic placental insufficiency Hence prediction of preeclampsia in early gestation is of great interest as early therapeutical intervention such as aspirin36 might reduce the risk of preeclampsia So in our study we aim to ascertain the role of mean arterial pressure clinical urine calcium creatinine ratio biochemical and uterine artery Doppler radiological parameters in predicting preeclampsiaAims and Objectives To study mean arterial pressure spot urine calcium creatinine ratio Doppler of uterine artery between 2024 weeks of gestational age as predictor of preeclampsia and to know the effectiveness of combination of above parameters in predicting preeclampsiaMaterials and Methods It was a prospective study involving 100 low risk pregnant women of any parity with gestational age of 2024 weeks All study individuals were followed till term and the end point of the study was considered to be the development of preeclampsia as per the ACOG criteria 2013Results All parameters mean arterial pressure urine calcium creatinine ratio and uterine artery Doppler were individually found to be statistically significant predictor Doppler of uterine artery was found to be a better predictor of preeclampsia when compared to mean arterial pressure and urine calcium creatinine ratio individually Combination of all three parameters was found to be the better predictor than individual parameterKeywords Preeclampsia Mean arterial pressure Urine calcium creatinine ratio and uterine artery Doppler
Authors and Affiliations
D. Maheswari, Prabha Ganapathy, Indira
Comparative study of oral versus vaginal misoprostol 25 mcg for induction of labour at term in a Medical College Hospital in South India – Prospective Study
Objective of the study is to compare the safety and efficacy of oral versus vaginal misoprostol 25mcg for induction of labour at term and to assess perinatal out come. Materials and Method: Study was conducted in the dep...
Outcome of immediate postpartum insertion of IUCD - A prospective study
Introduction Immediate postpartum intrauterine contraceptive device insertion is an excellent family planning method which provided safe effective long term and reversible contraception to women in the delivery setting H...
Comparison of effectiveness of mifepristone misoprostol combination versus mifepristone Foley EAS (Extra-amniotic instillation of saline) combination in second trimester pregnancy termination
Second trimester medical abortion with mifepristone followed by misoprostol is effective and is associated with considerably shorter induction abortion interval This study is a comparison of the effectiveness safety prof...
Clinical and Etiological Study of Maternal Near-Miss at a Tertiary Referral Hospital of Central India
Background: Analyzing the maternal near miss provides a good opportunity for assessing the factors responsible for maternal mortality in that area. Objective: To study the clinicoetiological profile of severe maternal mo...
Prevalence of thrombocytopenia in Parturient: Experience in Tertiary Care Center
Introduction: Thrombocytopenia can result from a wide range of conditions with several of them being pregnancy related. Obstetricians manage most cases of pregnancy-associated thrombocytopenia. Thus, a working knowledge...