COMPARATIVE ASSESSMENT OF MICROALBUMINURIAAND EARLY UTERINE ARTERY DOPPLER INDICES AS A PREDICTOR OF DEVELOPING PREECLAMPSIA.

Abstract

BACKGROUND : As we know hypertensive disorders in pregnancy is always a deadly threat to mothers and fetus. Mothers will be in large benet if we predict it earlier. Easy reproducible non cumbersome screening test are needed for it. METHODS: This is a Prospective longitudinal study. Patients were studied from rst trimester to late trimester in the department of g & o for 1 year who fullled the inclusion and exclusion criteria. They were observed through out the time period. All the data were studied by chi – square test . Ap value of <.05 was considered statistically signicant. RESULTS : Out of 150 antenatal mothers 12 developed pre-eclampsia (including 1 eclampsia) among which 8 had microalbuminuria during their antenatal period. 10 mothers had microalbuminuria but did not develop pre-eclampsia, 4 of them developed pre-eclampsia but they did not have microalbuminuria during antenatal period. 128 mothers did not have microalbuminuria and they did not develop pre-eclampsia When RI of >0.58 was used as cut off value at 18weeks of POG. In our study of 150 antenatal mothers 12 developed pre-eclampsia (including 1 eclampsia) among which 4 had RI of > 0.58 during their antenatal period. 6 of them had RI of >0.58 but did not develop pre-eclampsia, 8 of them developed pre-eclampsia but did not have increased RI value. 132 mothers did not have raised RI value and they did not develop pre-eclampsia. CONCLUSION Both the screening tools are easy to done. Microalbuminuria and early uterine artery doppler indices can be used as predictor of detecting preeclampsia. Mothers with no microalbuminuria and uterine artery RI value of < 0.58 would have less chance of developing pre eclampsia in late pregnancy.