Prediction of preeclampsia by mean arterial pressure and waist circumference

Anupama, Upadhyay; Dayal, Meena

doi:10.21276/obgyn.2019.6.1.6

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…The finding is in concordance with the results obtained by Upadhyay and Dayal. 10 In the present study, MAP was found to be a more accurate predictor of prospective occurrence of preeclampsia than serum uric acid and salivary uric acid both. Cnossen et al found MAP to be a better indicator of PE than systolic or diastolic pressure alone.…”

Section: Discussionsupporting

confidence: 46%

Salivary uric acid as a non-invasive marker of early onset preeclampsia

Agarwal

Dwivedi

Gupta

et al. 2023

Int J Reprod Contracept Obstet Gynecol

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Background: Preeclampsia is one of the most common complications in pregnancy and is a major cause of maternal and perinatal morbidity and mortality. Early prediction of preeclampsia is crucial in proactive management of the patient. Uric acid is a biomarker of hypertension. Methods: A prospective study was done on 200 pregnant females in their first or early second trimester of pregnancy and were followed till one week of delivery or termination of pregnancy. After taking socio-demographic details, detailed medical and obstetric history was taken. Blood pressure of the patients was routinely measured and mean arterial pressure was calculated. Blood and saliva samples were taken and were analysed following standard protocol for serum and salivary uric acid levels respectively. Participants were classified into normotensive and preeclampsia groups depending on the criteria met. Results: Preeclampsia group participants had significantly more adverse and feto-maternal outcomes. Salivary uric acid is a promising diagnostic predictor of preeclampsia in pregnant women by the virtue of being a non-invasive investigation with cut off value 4.86 mg/dl having a sensitivity of 70.8%, specificity of 45.7% and a PPV of 81.3%. Salivary uric acid level and mean arterial pressure were found to be better predictors of preeclampsia as compared to salivary uric acid level. Conclusions: Salivary uric acid is a reliable predictor of preeclampsia in pregnant females in first and early second trimester of pregnancy. Further largescale studies are warranted to establish an accurate cut off value with good diagnostic properties for Indian population.

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Section: Discussionsupporting

confidence: 46%

Salivary uric acid as a non-invasive marker of early onset preeclampsia

Agarwal

Dwivedi

Gupta

et al. 2023

Int J Reprod Contracept Obstet Gynecol

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“…When mid-trimester means arterial pressure is > 90 mm Hg, there is a significant increase in the frequency of proteinuria, hypertension, and the diagnosis of preeclampsia in the third trimester. Several blood pressure measurements including systolic blood pressure, diastolic blood pressure, pulse rate, mean arterial pressure, and 24-hour ambulatory pressure have been studied in early pregnancy as predictors of preeclampsia 64 .…”

Section: Resultsmentioning

confidence: 99%

Relationship Between Body Mass Index (Bmi), Albumin Levels, Mean Arterial Pressure (Map), and Food Intake on the Incidence of Preeclampsia: A Prospective Cohort Study

Hirfa Turrahmi,

Tria Astika Endah Permatasari,

Heri Rosyati

et al. 2023

MIPHMP

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Preeclampsia and eclampsia have the greatest impact on the morbidity and mortality of pregnant women and newborns. Management of patients with manifestations of preeclampsia requires a well-formulated plan that takes into account maternal risk factors, clinical, laboratory, and imaging (X-ray) findings, and time of onset gestational age, and delivery. The purpose of this study was to determine the relationship between body mass index (BMI), albumin levels, mean arterial pressure (MAP), and food intake on the incidence of preeclampsia. This prospective cohort study was conducted at the Community Health Centers working area of Central Jakarta from October 2021 to May 2022. A sample of 167 pregnant women was selected using consecutive sampling with inclusion criteria of 13-16 weeks gestation and was willing to participate in the research program. Samples who had communication disorders were on routine medication, and had a history of other diseases, except for hypertension, were excluded from the study. Data processing uses the SPSS 22.0 program with independent t-test and chi-square test analysis. The results showed that 8.4% of pregnant women with preeclampsia were positive, there was a significant relationship between age (p = 0.042; RR = 2.99; 95% CI: 1.00-9.16); spacing of pregnancies (p= 0.008; RR= 3.97; 95% CI: 1.46-10.78); maternal history of hypertension (p= 0.002; RR= 5.18; 95% CI: 1.98-13.59); BMI in early pregnancy (p= 0.001; RR= 6.02; 95% CI: 1.98-18.28); albumin level (p= 0.001; RR= 13.48; 95% CI: 1.80-100.69); MAP (p< 0.001; RR= 10.93; 95%CI: 4.47-26.70); animal protein intake (p= 0.024; RR= 3.13; 95%CI: 1.10-8.91); and vegetable intake (p= 0.038; RR= 2.79; 95%CI: 1.02-7.64) with preeclampsia. Preventing the occurrence of preeclampsia can be done by early examination of albumin levels and maintaining food intake.

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Role of Mean Arterial Pressure in Mid-trimester Pregnancy for the Prediction of Gestational Hypertension and Pre-eclampsia

Shanker¹,

Gupta²

2021

Journal of South Asian Federation of Obstetrics and Gynaecology

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Prediction of preeclampsia by mean arterial pressure and waist circumference

Cited by 3 publications

References 10 publications

Salivary uric acid as a non-invasive marker of early onset preeclampsia

Salivary uric acid as a non-invasive marker of early onset preeclampsia

Relationship Between Body Mass Index (Bmi), Albumin Levels, Mean Arterial Pressure (Map), and Food Intake on the Incidence of Preeclampsia: A Prospective Cohort Study

Role of Mean Arterial Pressure in Mid-trimester Pregnancy for the Prediction of Gestational Hypertension and Pre-eclampsia

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