Study on prediction of hypertensive disorders of pregnancy using gestosis score

Abstract

Background: Hypertensive disorders in pregnancy are rising at an increasing pace worldwide. Identification of pregnant females who are at risk for developing the life threating disorders like eclampsia and pre-eclampsia is the need of hour. Assessment of risk factors and scoring them using the HDP gestosis score can identify the “at risk “ patients so as to provide special attention and care. Materials
and Methods: A total of 250 pregnant women were included in this prospective observational study which was conducted in the Department of Obstetrics and Gynaecology of Kamineni Academy of Medical Sciences and Research Centre, L.B. Nagar, Hyderabad, over a period of 2 years.
Results: Gestosis score (> = 3) carried sensitivity, specificity, PPV, and NPV of 81.5%, 71.7%, 25.9%, and 97%, respectively, for predicting the development of PE.
Conclusion: The study holds importance in raising the awareness of the prevalence of PE and how a simple scoring system may be able to predict the development of pre-eclampsia—thereby providing an opportunity of adequate management of the patients to curb adverse outcomes associated with PE.