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Published on: January 26, 2024
Prevention of Pre-Eclampsia: Modern Strategies and the Role of Early Screening
Gulzhaina Alipova1, Nurgul Ablakimova2,3, Kymbat Tussupkaliyeva4
1Department of Obstetrics and Gynecology, West Kazakhstan Marat Ospanov Medical University, Aktobe 030012, Kazakhstan.
Insights
Early detection of pre-eclampsia (PE) is crucial. New screening methods using biomarkers and AI show promise, but require further validation for improved maternal and perinatal outcomes.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Reproductive Health
Background:
- Pre-eclampsia (PE) is a major global cause of maternal and perinatal morbidity/mortality.
- Effective early detection and risk stratification are vital for improving pregnancy outcomes.
- Current screening methods require enhancement for better predictive accuracy.
Purpose of the Study:
- To review and summarize advancements in pre-eclampsia screening.
- To cover clinical risk factors, biomarkers, imaging, and predictive models.
- To highlight challenges and future directions in PE prediction.
Main Methods:
- Comprehensive literature search across major scientific databases (PubMed, Scopus, Web of Science, Google Scholar).
- Inclusion of peer-reviewed original studies, systematic reviews, and meta-analyses.
- Exclusion of case reports and conference abstracts to ensure study quality.
Main Results:
- Traditional PE screening relies on clinical risk factors.
- Emerging methods incorporate biochemical markers and ultrasound for enhanced prediction.
- Machine learning and AI algorithms are being explored for improved risk stratification, facing challenges in validation and clinical integration.
Conclusions:
- Advancements in PE screening offer potential for early identification and targeted prevention.
- Future research must focus on validating predictive models in diverse populations.
- Integrating AI with traditional methods and developing personalized approaches are key to reducing PE complications.
Abstract:
Background: Pre-eclampsia (PE) remains a leading cause of maternal and perinatal morbidity and mortality worldwide. Early detection and risk stratification are critical for improving pregnancy outcomes. This review aims to summarize current advancements in PE screening, including clinical risk factors, biomarkers, imaging techniques, and predictive models. Methods: A comprehensive literature search was conducted using PubMed, Scopus, Web of Science, and Google Scholar to identify relevant studies on PE screening and prediction. Peer-reviewed original studies, systematic reviews, and meta-analyses published in English were included, while case reports and conference abstracts were excluded. Results: Traditional screening methods rely on maternal history and clinical risk factors, while emerging approaches incorporate biochemical markers and ultrasound parameters to enhance predictive accuracy. Machine learning models and artificial intelligence (AI)-driven algorithms are being explored for improved risk stratification. However, challenges such as data heterogeneity, lack of external validation, and integration into clinical practice remain. Conclusions: Advances in PE screening hold promise for early identification and targeted prevention strategies. Future research should focus on validating predictive models in diverse populations, integrating AI with traditional screening methods, and developing personalized approaches to reduce PE-associated complications.
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