Good performance of bioimpedance in early pregnancy to predict preeclampsia

Trindade, Célia Regina; Torloni, Maria Regina; Mattar, Rosiane; Sun, Sue Yazaki

doi:10.1016/j.preghy.2021.08.115

Cited by 6 publications

(5 citation statements)

References 31 publications

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“…Those articles were read in full considering the inclusion and exclusion criteria were considered. Then, ten articles 10 11 12 13 14 15 16 17 18 19 were included in the present review. Figure 1 shows the inclusion flowchart.…”

Section: Resultsmentioning

confidence: 99%

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Prevalence of Preeclampsia in Brazil: An Integrative Review

Guida

Andrade

Pissinatti

et al. 2022

Rev Bras Ginecol Obstet

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Objective To review literature and estimate the occurrence of preeclampsia and its complications in Brazil. Methods We performed an integrative review of the literature, and included observational studies published until August 2021 on the SciELO and PubMed databases that evaluated preeclampsia among pregnant women in Brazil. Other variables of interests were maternal death, neonatal death, hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome, and eclampsia. Three independent reviewers evaluated all retrieved studies and selected those that met inclusion criteria. A metanalysis of the prevalence of preeclampsia and eclampsia was also performed, to estimate a pooled frequency of those conditions among the studies included. Results We retrieved 304 studies after the initial search; of those, 10 were included in the final analysis, with a total of 52,986 women considered. The pooled prevalence of preeclampsia was of 6.7%, with a total of 2,988 cases reported. The frequency of eclampsia ranged from 1.7% to 6.2%, while the occurrence of HELLP syndrome was underreported. Prematurity associated to hypertensive disorders ranged from 0.5% to 1.72%. Conclusion The frequency of preeclampsia was similar to that reported in other international studies, and it is increasing in Brazil, probably due to the adoption of new diagnostic criteria. The development of a national surveillance network would be essential to understand the problem of hypertensive disorders of pregnancy in Brazil.

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Section: Resultsmentioning

confidence: 99%

“…Overall, 2,988 cases of preeclampsia were reported; the prevalence ranged from 2.31% 11 to 14.15%. 13 Seven studies 10 13 14 15 16 17 18 did not report the occurrence of eclampsia. In the other 3 studies that reported eclampsia, it ranged from 1.66% 19 to 6.19%.…”

Section: Resultsmentioning

confidence: 99%

Prevalence of Preeclampsia in Brazil: An Integrative Review

Guida

Andrade

Pissinatti

et al. 2022

Rev Bras Ginecol Obstet

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“…Other techniques for maternal hemodynamic detection have shown promising results for the prediction of HDP such as bioimpedance, impedance cardiography and ECG-Doppler ultrasound. 79,80 This article is protected by copyright. All rights reserved.…”

Section: Maternal Hemodynamics As a Screening For Complications In Pr...mentioning

confidence: 99%

“…Moreover, alongside these widely studied areas, interesting data are emerging regarding other pregnancy diseases such as diabetes and preterm delivery (PTD), as well as a potential role of hemodynamics before pregnancy, in FGR, during tween pregnancy, labor, and delivery with the anesthesiologic implications of hemodynamic profile of the mothers. 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106…”

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confidence: 99%

Maternal Hemodynamics from Preconception to Delivery: Research and Potential Diagnostic and Therapeutic Implications: Position Statement by Italian Association of Pre-Eclampsia and Italian Society of Perinatal Medicine

Vasapollo,

Zullino,

Novelli

et al. 2024

Am J Perinatol

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Objective The Italian Association of Preeclampsia (AIPE) and the Italian Society of Perinatal Medicine (SIMP) developed clinical questions on maternal hemodynamics state of the art. Study Design AIPE and SIMP experts were divided in small groups and were invited to propose an overview of the existing literature on specific topics related to the clinical questions proposed, developing, wherever possible, clinical and/or research recommendations based on available evidence, expert opinion, and clinical importance. Draft recommendations with a clinical rationale were submitted to 8th AIPE and SIMP Consensus Expert Panel for consideration and approval, with at least 75% agreement required for individual recommendations to be included in the final version. Results More and more evidence in literature underlines the relationship between maternal and fetal hemodynamics, as well as the relationship between maternal cardiovascular profile and fetal-maternal adverse outcomes such as fetal growth restriction and hypertensive disorders of pregnancy. Experts agreed on proposing a classification of pregnancy hypertension, complications, and cardiovascular states based on three different hemodynamic profiles depending on total peripheral vascular resistance values: hypodynamic (>1,300 dynes·s·cm−5), normo-dynamic, and hyperdynamic (<800 dynes·s·cm−5) circulation. This differentiation implies different therapeutical strategies, based drugs' characteristics, and maternal cardiovascular profile. Finally, the cardiovascular characteristics of the women may be useful for a rational approach to an appropriate follow-up, due to the increased cardiovascular risk later in life. Conclusion Although the evidence might not be conclusive, given the lack of large randomized trials, maternal hemodynamics might have great importance in helping clinicians in understanding the pathophysiology and chose a rational treatment of patients with or at risk for pregnancy complications. Key Points

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“…Specific to pregnancy, bioimpedance has been reported to be able to distinguish patients developing preeclampsia from those having merely pregnancy-induced hypertension and to identify those at risk of having small for gestational age foetuses at an earlier gestational stage [ 21 ]. Bioimpedance in pregnant patients also showed good accuracy and high negative predictive value for the risk of developing preeclampsia [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Segmental bioimpedance in pregnant end stage renal failure patient for dry weight titration and volume management (case report)

Haroon,

Tan,

Lau

et al. 2023

BMC Nephrol

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Background Volume assessment, dry weight titration, and blood pressure control in pregnant kidney failure patients are often challenging, with physiological fluid accumulation in the trunk and lower limbs and an increased risk of preeclampsia. We used segmental bioimpedance in the volume management of our kidney failure patient on haemodialysis. Case presentation We report a case of a female patient on maintenance haemodiafiltration with no residual kidney function for whom we used segmental bioimpedance to guide dry weight adjustment. At different gestational periods, we targeted a different extracellular to total body water ratio according to body segments. This allowed us to support her high-risk pregnancy, identify her as probably developing preeclampsia and trigger a plan for closer monitoring and delivery during the third trimester when she had rapid weight gain. Conclusion Segmental bioimpedance is a practical, simple, and non-invasive test that can be performed at the dialysis unit and is useful as an adjunct decision-making tool in the management of pregnant dialysis patients.

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Good performance of bioimpedance in early pregnancy to predict preeclampsia

Cited by 6 publications

References 31 publications

Prevalence of Preeclampsia in Brazil: An Integrative Review

Prevalence of Preeclampsia in Brazil: An Integrative Review

Maternal Hemodynamics from Preconception to Delivery: Research and Potential Diagnostic and Therapeutic Implications: Position Statement by Italian Association of Pre-Eclampsia and Italian Society of Perinatal Medicine

Segmental bioimpedance in pregnant end stage renal failure patient for dry weight titration and volume management (case report)

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