Refine your search
Collections
Co-Authors
Journals
Year
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Sanjay Deshmukh, Minal
- Study of Placental Laterality as a Predictor for Development of Pre-Eclampsia at a Tertiary Care Centre
Abstract Views :128 |
PDF Views:78
Authors
Affiliations
1 Professor, Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Vasantdada Nagar, Adgaon, Nashik – 422003, IN
2 Former PG Resident, Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Vasantdada Nagar, Adgaon, Nashik – 422003, IN
3 Assistant Professor, Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Vasantdada Nagar, Adgaon, Nashik – 422003, IN
1 Professor, Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Vasantdada Nagar, Adgaon, Nashik – 422003, IN
2 Former PG Resident, Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Vasantdada Nagar, Adgaon, Nashik – 422003, IN
3 Assistant Professor, Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Vasantdada Nagar, Adgaon, Nashik – 422003, IN
Source
MVP Journal of Medical Sciences, Vol 8, No 1 (2021), Pagination: 132–139Abstract
Introduction: Hypertensive disorders of pregnancy is the commonest medical complication. Pre-eclampsia in India is reported to be 8-10%. Out of which hypertension in pregnancy was 7.8% with pre-eclampsia in 5.4%. India has the highest number of preterm births in the World. Hypertension in pregnancy (gestational hypertension – 4.8%, eclampsia – 4.8%, chronic hypertension – 5%, & pre-eclampsia – 36%) are the major risk factors of the preterm births in India. Aims and Objectives: To evaluate placental location (by ultrasound at 18-24 weeks) & its corelation in predicting development of pre-eclampsia. Methodology: This prospective study on 108 low risk antenatal women with ultrasonography with documented placental location. After determining the placental location (ultrasound scanning at 18 – 20 weeks) were classified into two groups. Women having central placenta in the central region were assigned to group A & women having lateral placenta to group B. All women were observed regularly during pregnancy up to delivery. Development of signs and symptoms of pre-eclampsia were looked for. Results in 2 groups were compared for statistical significance. Results: Laterally placed placenta showed higher Systolic BP and Diastolic BP as compared to centrally placed placenta at every GA. But 36-37 Gestational Age only provide statistically significant results. Conclusion: In the present study, 61.1% women who eventually developed pre-eclampsia had a lateral placenta while 37% women had a centrally placenta. Laterally placed placenta showed higher Systolic BP and Diastolic BP as compared to centrally placed placenta which provide statistically significant results.Keywords
DBP- Diastolic Blood Pressure, PE – Pre-Eclampsia, SBP – Systolic Blood PressureFull Text
References
- National health portal. Available at: https://www. nhp.gov.in/disease/gynaecology-and-obstetrics/ preeclampsia#:~:text=In%20India%2C%20the%20incidence% 20of,the%20study%20population%20in%20India*.
- Olson-Chen C, Seligman NS. Hypertensive Emergencies in Pregnancy. Crit Care Clin 2016; 32(1): 29–41.
- Cunningham FG, Leveno KJ, Bloom SL, et al. William’s obstetrics. 23rd edn. Chapter 34. Pregnancy induced hypertension. Access Medicine 2010: 706–50.
- American College of Obstetricians and Gynecologists. Task Force on Hypertension in Pregnancy. Hypertension in pregnancy. Report of the American College of Obstetricians and Gynecologists’ Task Force on Hypertension in Pregnancy. Obstet Gynecol 2013; 122(5): 1122–31.
- Agrawal S, Walia GK, Staines UE, Casas JP, Millett C. Prevalence of and risk factors for eclampsia in pregnant women in India. Family Med Com Health 2016; 5: 225– 244. https://doi.org/10.15212/FMCH.2016.0121
- Patil S, Patil KP. Analysis of risk factors of late preterm birth: a case-control study. Indian J Health Sci Biomed Res 2017; 10: 283–287. https://doi.org/10.4103/kleuhsj.ijhs_350_16
- Shivamurthy HM, Sharada KS, Giridhar SA, Himgire JR, Asaranna D. Placental laterality as a predictor of preeclampsia- An ultrasonic prospective study. J Pub Health Med Res 2014; 2(1): 38–40.
- Cunningham MW Jr, LaMarca BD. The Risk of Cardiovascular Disease, End-Stage Renal Disease, and Stroke in Post-Partum Women and their Fetuses after a Hypertensive Pregnancy. Am J Physiol Regul Integr Comp Physiol 2018. https://doi.org/10.1152/ajpregu.00218.2017
- Mayer-Pickel K, Stern C, Eberhard K, Lang U, Obermayer- Pietsch B, Cervar-Zivkovic M. Angiogenic factors in pregnancies of women with antiphospholipid syndrome and systemic lupus erythematosus. J Reprod Immunol 2018; 127: 19–23. https://doi.org/10.1016/j.jri.2018.04.002
- Fleischer A, Schulman H, Farmakides G et al. Uterine artery Doppler velocimetry in pregnant women with hypertension. Am J Obstet Gynecol 1986; 154(4): 806–13. https:// doi.org/10.1016/0002-9378(86)90462-X
- Magann EF, Doherty DA, Turner K, et al. Second trimester placental location as a predictor of an adverse pregnancy outcome. J Perinatol 2007; 27(1): 9–14. https://doi. org/10.1038/sj.jp.7211621
- Anuja VB, Sayali K, Savita S. Lateral placentation by ultrasonography: a simple predictor of preeclampsia. J South Asian Feder Obst Gynae 2013; 5(2): 68–71. https://doi. org/10.5005/jp-journals-10006-1227
- Salas SP. What causes pre-eclampsia? Baillieres Best Pract Res Clin Obstet Gynaecol 1999; 13(1): 41-57. https://doi. org/10.1053/beog.1999.0005
- Kore SJ, Khot R, Supe P, Kanavia D, Thunga C, Nandanwar Y. Prediction of pre-eclampsia: role of placental laterality by ultrasonography. Int J Reprod Contracept Obstet Gynecol 2016; 5: 1433–7. https://doi.org/10.18203/2320-1770.ijrcog20161300
- Jani PS, Patel UM, Gandhi MR, Thakor NC, Kakani CR. Placental laterality and uterine artery resistance as predictor of pre-eclampsia: a prospective study at GMERS Medical College, Dharpur-Patan, North Gujarat, India. Int J Res Med Sci 2015; 3: 1484–7. https://doi.org/10.18203/2320- 6012.ijrms20150172
- Yousuf S, Ahmad A, Qadir S, Gul S et al. Utility of placental laterality and uterine artery doppler abnormalities for prediction of pre-eclampsia. J Obstet Gynaecol India 2016; 6(S1): S212–S216. https://doi.org/10.1007/s13224-015- 0837-z
- Muralidhar PV, Pillai J. Placental laterality by ultrasonography as predictive marker for pre-eclampsia. J Obstet Gynaecol India; 2005; 55(5): 431–33.
- Vaillant P, Best MC, Cynober E, Devulder G. Pathological uterine readings when the placenta is laterally situated. J Gynecol Obstet Biol Reprod 1993; 22: 301–7.
- Kalanithi LE, Illuzzi JL, Nossov VB et al. Intrauterine growth restriction and placental location. J Ultrasound Med 2007; 26: 1481–9. https://doi.org/10.7863/jum.2007.26.11.1481
- Ahuja P, Saxena U. Role of Placental laterality as a Predictive Tool for Pre-eclampsia. Int. J. Contemp. Surg., Surgery. 2020; 8(1): 26–30.
- Aggarwal P, Kangjam P, Terhase N. Study on relation between placental laterality in second trimester ultrasound and development of pre-eclampsia at term. JEMDS 2015 (December 2015); 4(104): 16926–16928. https://doi. org/10.14260/jemds/2015/2550
- Sumathi N, Pavithra GR. Placental Laterality-A Simple yet reliable predictor of pre-eclampsia an ultrasonic prospective study. IOSR-JDMS 2016 (October 2016); 15(10): 116–121.
- Salama-Bello R, Jose R, Howard S, Song J, Schenone M. Placental location and the development of hypertensive disorders of pregnancy. Am In Ultra Med 2018; 38: 1–5. https://doi.org/10.1002/jum.14681
- Gupta A, Bansal P, Sen J, Singhal SR. Correlation of lateral placental location with development of pre-eclampsia. Int J Reprod Contracept Obstet Gynecol 2020; 9: 1017–22. https://doi.org/10.18203/2320-1770.ijrcog20200867
- Kakkar T, Singh V, Ranzdan R, Sanjeev KD, Gupta A, Kakkar M. Placental laterality as a predictor for development of pre-eclampsia. J Obstet Gynaecol 2012; 63: 22–5. https://doi.org/10.1007/s13224-012-0241-x
- Ambastha V, Sreelatha S, Devi A, Kallesh S, Sumaiah, Kavitha LB, et al. Study of association of lateral implantation of placenta with development of pre-eclampsia and its outcome. The New Indian J Obstet Gynaecol 2018; 5: 33–7. https://doi.org/10.21276/obgyn.2018.5.1.8