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Year : 2021  |  Volume : 1  |  Issue : 2  |  Page : 46-50

Maternal pulse waveform in second trimester and risk of preeclampsia

Department of Obstetrics and Gynaecology, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India

Correspondence Address:
Nidhi Sharma
Department of Obstetrics and Gynaecology, Saveeetha Medical College, Saveetha Institute of Medical and Technical Sciences, No 5 Jayanthi Street, Dr Seethapathi Nagar Velachery, Chennai 600042, Tamil Nadu.
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/JCDM.JCDM_13_21

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Background: Preeclampsia is a multisystem heterogeneous disorder occurring in 4%–7% of all pregnancies. Objectives: This study was conducted to define the relation between arterial stiffness and perinatal outcome in a tertiary care center. The relationship between maternal pulse wave augmentation index and adverse perinatal outcome is explored in this study. Materials and Methods: Peripheral pulse waveform of the brachial artery and mean arterial pressure measurement was performed in the second trimester in women with singleton pregnancy. Preeclampsia was recorded in (7%) of all pregnancies. Results: Abnormal peripheral pulse wave augmentation in the second trimester is a good tool for the prediction of preeclampsia (sensitivity 91.23% and specificity 99.06%, P < 0.05). Conclusion: Increased peripheral augmentation index (>2 SD) and mean arterial pressure measurement in combination have better detection rates for early-onset preeclampsia and fetal growth restriction (FGR).

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