Prediction of pregnancy complications by first-trimester maternal serum PAPP-A and free β-hCG and with second-trimester uterine artery Doppler

2005 ◽  
Vol 25 (10) ◽  
pp. 949-953 ◽  
Author(s):  
Kevin Spencer ◽  
Christina K. H. Yu ◽  
Nicholas J. Cowans ◽  
Chineze Otigbah ◽  
Kypros H. Nicolaides
Placenta ◽  
2012 ◽  
Vol 33 (6) ◽  
pp. 495-501 ◽  
Author(s):  
G. Di Lorenzo ◽  
M. Ceccarello ◽  
V. Cecotti ◽  
L. Ronfani ◽  
L. Monasta ◽  
...  

Author(s):  
Vishal S. Sheth ◽  
Kanaklata D. Nakum ◽  
Mehul D. Patel ◽  
Mayank R. Lunagariya

Background: PIH, a pregnancy-specific disorder, is one of the major causes of maternal and perinatal morbidity and mortality worldwide.PIH and fetal growth restriction are important causes of perinatal and maternal morbidity and mortility.Methods: Hundred Indian pregnant women in their second trimester (13-20 weeks) and in their late second trimester (24-28 weeks) investigated for their serum β-hCG level and uterine artery Doppler studies respectively, attending OPD/IPD in Sir T. hospital, Bhavnagar from June 2014 to June 2015.Results: There is no clinical significance between parity and occurrence of PIH (p=0.2) and FGR (p=0.7). Out of 77 patients with their β hCG level ≤2 MoM, 2 patients (2.59%) developed PIH and FGR. And from 12 patients with their β hCG level ≥2 MoM 10 patients (80%) developed PIH and FGR which is highly significant (p<0.001). The study establishes the validity of beta HCG as a predictor of PIH and FGR with the sensitivity of 83.3%, specificity of 97.5%.Conclusions: This study can be concluded by there is a strong association between high maternal serum ß-hCG level, abnormal uterine Doppler studies with predicting adverse outcome of pregnancy like PIH and FGR. There is also a good association between high maternal serum ß-hCG level and rising severity of the disease.


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