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Article | IMSEAR | ID: sea-232757

ABSTRACT

Background: Preeclampsia is a complex obstetrical syndrome and an important contributor to maternal and perinatal morbidity and mortality. A large number of predictive tests and scoring systems have been proposed but ni low resource settings a cheap, quick and reliable scoring system is desirable to adequately predict the risk for all women. This study aimed to study the role of HDP gestosis score in prediction of preeclampsia.Methods: The study was done on 400 antenatal women attending Obstetrics and Gynecology outpatient department of SRN hospital, MLNMC Prayagraj. All enrolled participants were assigned a gestosis score calculated by the ANDROID AP at first visit (<18 weeks of gestation). All women were divided in three groups according to gestosis score of 1, 2 and 3 or more. The participants were then followed throughout pregnancy and development of preeclampsia was noted.Results: Preeclampsia developed in 13.7% of women. THE sensitivity, specificity, positive predictive value, negative predictive value and predictive accuracy of HDP gestosis score were 72.2%, 94.6%, 68.4%, 95.5% and 91.6% respectively.Conclusions: The HDP gestosis score is a simple, cheap, mobile app. Based scoring system which allows provider to quickly assess individual woman risk-for future development of preeclampsia in busy OPD setting. HDP gestosis score is an effective tool to predict at risk women and initiate pharmacological intervention or intensive maternofetal surveillance.

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