MEAN ARTERIAL PRESSURE AS A PREDICTOR OF GESTATIONAL HYPERTENSION AND PRE-ECLAMPSIA

Abstract

Vidhya Ravi1, P. Sivaranjani Panneer Selvam2, Bama S. Ramesh3

AIM
To determine the potential value of mean arterial pressure in the prediction of gestational hypertension and pre-eclampsia.
INTRODUCTION Pregnancies complicated by pre-eclampsia, gestational hypertension or both, are at significantly increased risk of adverse outcomes. In low risk women, mean arterial pressure was a better predictor of pre-eclampsia than systolic blood pressure or diastolic blood pressure.
METHODOLOGY
Sample Size: 100.
This is a prospective observational study done from August 2013 to August 2015 at K.A.P.V. Medical College and M.G.M. Government Hospital, Trichy. Various data analysed regarding age, parity, gestational age at the time of delivery, socioeconomic status, and mean arterial pressure.
RESULTS
In this study, all patients were with mean arterial pressure more than 90 mmHg. Among them, 68 developed hypertensive disorder of pregnancy and 32 were remained normotensive.
CONCLUSION
Mean arterial pressure more than 90 mmHg in first trimester and in early second trimester has significant impact on the incidence of hypertensive disorders of pregnancy.

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