scholarly journals Effect of locally tailored clinical guidelines on intrapartum management of severe hypertensive disorders at Zanzibar's tertiary hospital (the PartoMa study)

2018 ◽  
Vol 144 (1) ◽  
pp. 27-36 ◽  
Author(s):  
Nanna Maaløe ◽  
Camilla B. Andersen ◽  
Natasha Housseine ◽  
Tarek Meguid ◽  
Ib C. Bygbjerg ◽  
...  
2021 ◽  
pp. 35-37
Author(s):  
Shoadashi Saxena ◽  
Rachna Bhatnagar ◽  
Shivani Singh ◽  
Shipra Kunwar ◽  
Sachin Khanduri ◽  
...  

AIM:To compare cerebroplacental and cerebrouterine ratio as predictors of perinatal outcome in hypertensive disorders of pregnancy. METHODS: A prospective cohort study was done at a tertiary hospital in Northern India. Singleton pregnancies of gestational age >28 weeks, having BP>140/90mm of Hg with/without proteinuria >30mg/dL(+1 dipstick)were included. Doppler indices were measured, and perinatal outcomes studied. RESULTS:Cerebrouterine(CU) and cerebroplacental(CP) ratios had a better negative predictive value for adverse perinatal outcomes(except Apgar and preterm birth). CP ratio had highest sensitivity and specicity for outcomes perinatal death (100% and 95.9%), ventilatory support (100% and 97.2%) and hypoglycemia (100% and 95.9%). CU ratio had maximum sensitivity and specicity for the outcome hypoglycemia (100% and 95.9%). CONCLUSIONS:CP ratiohas a higher efcacy than CU ratio, however CU ratio compliments its predictive ability. Higher negative predictive values indicate that these ratios correctly ruled out unfavourable perinatal outcomes. Further studies to derive more sensitive values of CU ratio with normotensive patients and a larger sample size would be benecial.


2018 ◽  
Vol 14 (2) ◽  
pp. 208-217
Author(s):  
Ankush Dhariwal ◽  
Emmanuel Allotey ◽  
Amelia Fisher ◽  
Imelda Bates

2015 ◽  
Vol 28 (4) ◽  
pp. 613-620
Author(s):  
Zélia Maria de Sousa Araújo Santos ◽  
Rithianne Frota Carneiro ◽  
Geraldo Bezerra da Silva Junior ◽  
Janaína da Silva Feitoza Palácio ◽  
Jennara Cândido do Nascimento

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