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Serum markers in pre-eclampsia
1Department of Biochemistry, Pt. Bhagwat Dayal Sharma, Post Graduate Institute of Medical Science, Rohtak, India. simmikh@redimail.com
Insights
Preeclampsia affects 10% of pregnancies, causing significant maternal and infant mortality. Early detection through various clinical, biophysical, and biochemical tests is crucial for managing this hypertensive disorder of pregnancy.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Clinical Diagnostics
Background:
- Preeclampsia is a major global cause of maternal and neonatal mortality.
- Affecting approximately 10% of pregnancies, it's typically diagnosed late in gestation.
- Understanding etiology and pathogenesis is key for prevention and risk prediction.
Purpose of the Study:
- To review current diagnostic tests for preeclampsia.
- To explore methods for predicting high-risk pregnancies.
- To evaluate tests for hypertensive disorders in pregnancy.
Main Methods:
- Literature review of clinical, biophysical, and biochemical tests.
- Analysis of diagnostic accuracy and predictive value.
- Synthesis of current evidence on preeclampsia evaluation.
Main Results:
- Numerous tests exist for preeclampsia prediction and early detection.
- Tests vary in their clinical utility and predictive performance.
- No single test is universally adopted for all scenarios.
Conclusions:
- Effective preeclampsia management relies on timely and accurate diagnosis.
- Continued research into novel biomarkers and diagnostic strategies is warranted.
- Early identification of at-risk pregnancies can improve outcomes.
Abstract:
Preeclampsia occurs approximately in 10% of pregnancies and remains a leading cause of maternal and neonatal mortality and morbidity worldwide, particularly in developing countries. The condition is usually diagnosed in late pregnancy by the presence of hypertension with proteinuria and/ or edema. Prevention of any disease process requires knowledge of its etiology and pathogenesis, as well as the availability of methods for prediction of those at high risk for this disorder. Numerous clinical, biophysical, and biochemical tests have been proposed for prediction or early detection of preeclampsia. This review will explore the current tests available in the evaluation of hypertensive complications of pregnancy.
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