Analysis of a predictive model of preeclampsia risk in Iraqi women
Keywords:
pre-eclampsia, pregnancy, hypertension, Diastolic, SystolicAbstract
Two hundred women were collected from different hospitals in Iraq and divided into two groups, the first group is the patients (preeclampsia) and the second group (the control group) and this paper aims to this study aims to develop the prognostic model to calculate the probability of severe preeclampsia of women Iraqi. The criterion for inclusion in the study was the presence in pregnant women of characteristic clinical manifestations of a severe course of pre-eclampsia, confirmed by laboratory changes after 20 weeks of gestation. The severity of preeclampsia was determined based on current clinical guidelines. The analysis of data and demographic information for patients was based on the statistical analysis program SPSS 25, and statistically significant differences were found between the variables for the patient group and the control group, 0z05 The prediction tools developed to determine the risks of pre-eclampsia have low positive predictive values 12,13, which is explained by the low prevalence of pre-eclampsia in Iraqi women (3-5%).
Downloads
References
Ratsiatosika, Andriamanetsiarivo Tanjona, Eric Razafimanantsoa, Valéry Bruno Andriantoky, Noël Ravoavison, Rakotovao Andrianampanalinarivo Hery, Malik Boukerrou, Silvia Iacobelli, and Pierre-Yves Robillard. "Incidence and natural history of preeclampsia/eclampsia at the university maternity of Antananarivo, Madagascar: high prevalence of the early-onset condition." The Journal of Maternal-Fetal & Neonatal Medicine 32, no. 19 (2019): 3266-3271.
Ananth, Cande V., Katherine M. Keyes, and Ronald J. Wapner. "Pre-eclampsia rates in the United States, 1980-2010: age-period-cohort analysis." BMJ 347 (2013).
Ngwenya, Solwayo, Brian Jones, Alexander Edward Patrick Heazell, and Desmond Mwembe. "Statistical risk prediction models for adverse maternal and neonatal outcomes in severe preeclampsia in a low-resource setting: proposal for a single-center cross-sectional study at Mpilo Central Hospital, Bulawayo, Zimbabwe." BMC research notes 12, no. 1 (2019): 1-11.
Neiger, Ran. "Long-term effects of pregnancy complications on maternal health: a review." Journal of clinical medicine 6, no. 8 (2017): 76.
Bilhartz, T.D., Bilhartz, P.A., Bilhartz, T.N. and Bilhartz, R.D., 2011. Making use of a natural stress test: pregnancy and cardiovascular risk. Journal of Women's Health, 20 (5), pp.695-701.
Brewster, Shireen, Bernard Zinman, Ravi Retnakaran, and John S. Floras. "Cardiometabolic consequences of gestational dysglycemia." Journal of the American College of Cardiology 62, no. 8 (2013): 677-684.
Hermes, W., Franx, A., Van Pampus, M.G., Bloemenkamp, K.W., Bots, M.L., Van Der Post, J.A., Porath, M., Ponjee, G.A., Tamsma, J.T., Mol, B.W.J. and De Groot, C.J., 2013. Cardiovascular risk factors in women who had hypertensive disorders late in pregnancy: a cohort study. American journal of obstetrics and gynecology, 208 (6), pp. 474-e1.
Lind, J.M., Hennessy, A. and McLean, M., 2014. Cardiovascular disease in women: the significance of hypertension and gestational diabetes during pregnancy. Current Opinion in Cardiology, 29 (5), pp. 447-453.
Metzger, B.E., Coustan, D.R. and Organizing Committee, 1998. Summary and recommendations of the fourth international workshop-conference on gestational diabetes mellitus. Diabetes care, 21, p.B161.
Steegers, E.A., Von Dadelszen, P., Duvekot, J.J. and Pijnenborg, R., 2010. Pre-eclampsia. The Lancet, 376 (9741), pp. 631-644.
Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). Get vaccinated when it is your turn and follow the local guidelines. International Journal of Health Sciences, 5(3), x-xv. https://doi.org/10.53730/ijhs.v5n3.2938
Garovic, V.D. and Hayman, S.R., 2007. Hypertension in pregnancy: an emerging risk factor for cardiovascular disease. Nature clinical practice Nephrology, 3 (11), pp. 613-622.
Lee, A.J., Hiscock, R.J., Wein, P., Walker, S.P. and Permezel, M., 2007. Gestational diabetes mellitus: clinical predictors and long-term risk of developing type 2 diabetes: a retrospective cohort study using survival analysis. Diabetes care, 30 (4), pp. 878-883.
Ratner, Robert E., Costas A. Christophi, Boyd E. Metzger, Dana Dabelea, Peter H. Bennett, Xavier Pi-Sunyer, Sarah Fowler, Steven E. Kahn, and Diabetes Prevention Program Research Group. "Prevention of diabetes in women with a history of gestational diabetes: effects of metformin and lifestyle interventions." The Journal of Clinical Endocrinology & Metabolism 93, no. 12 (2008): 4774-4779.
Ouzounian JG, Elkayam U. Physiologic changes during normal pregnancy and delivery. Cardiology clinics. 2012 Aug 1;30(3):317-29.
Ødegård, R.A., Vatten, L.J., Nilsen, S.T., Salvesen, K.Å. and Austgulen, R., 2000. Risk factors and clinical manifestations of pre‐eclampsia. BJOG: An International Journal of Obstetrics & Gynaecology, 107 (11), pp. 1410-1416.
Stamilio, D.M., Sehdev, H.M., Morgan, M.A., Propert, K. and Macones, G.A., 2000. Can antenatal clinical and biochemical markers predict the development of severe preeclampsia? American journal of obstetrics and gynecology, 182 (3), pp. 589-594.
Choi, S.H., Park, Y.S., Shim, K.S., Choi, Y.S., Chang, J.Y., Hahn, W.H. and Bae, C.W., 2010. Recent trends in the incidence of multiple births and its consequences on perinatal problems in Korea. Journal of Korean medical science, 25 (8), pp. 1191-1196.
English, F.A., Kenny, L.C. and McCarthy, F.P., 2015. Risk factors and effective management of preeclampsia. Integrated blood pressure control, 8, p.7.
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
