Study of Placental Laterality as a Predictor for Development of Pre-Eclampsia at a Tertiary Care Centre

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Authors

  • Ajit Subhash Patil
     Professor, Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Vasantdada Nagar, Adgaon, Nashik – 422003 ,IN
  • Minal Sanjay Deshmukh
     Former PG Resident, Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Vasantdada Nagar, Adgaon, Nashik – 422003 ,IN
  • Poonam Patil
     Assistant Professor, Department of Obstetrics and Gynaecology, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Vasantdada Nagar, Adgaon, Nashik – 422003 ,IN

Keywords:

DBP- Diastolic Blood Pressure, PE – Pre-Eclampsia, SBP – Systolic Blood Pressure

Abstract

Introduction: Hypertensive disorders of pregnancy is the commonest medical complication. Pre-eclampsia in India is reported to be 8-10%. Out of which hypertension in pregnancy was 7.8% with pre-eclampsia in 5.4%. India has the highest number of preterm births in the World. Hypertension in pregnancy (gestational hypertension – 4.8%, eclampsia – 4.8%, chronic hypertension – 5%, & pre-eclampsia – 36%) are the major risk factors of the preterm births in India. Aims and Objectives: To evaluate placental location (by ultrasound at 18-24 weeks) & its corelation in predicting development of pre-eclampsia. Methodology: This prospective study on 108 low risk antenatal women with ultrasonography with documented placental location. After determining the placental location (ultrasound scanning at 18 – 20 weeks) were classified into two groups. Women having central placenta in the central region were assigned to group A & women having lateral placenta to group B. All women were observed regularly during pregnancy up to delivery. Development of signs and symptoms of pre-eclampsia were looked for. Results in 2 groups were compared for statistical significance. Results: Laterally placed placenta showed higher Systolic BP and Diastolic BP as compared to centrally placed placenta at every GA. But 36-37 Gestational Age only provide statistically significant results. Conclusion: In the present study, 61.1% women who eventually developed pre-eclampsia had a lateral placenta while 37% women had a centrally placenta. Laterally placed placenta showed higher Systolic BP and Diastolic BP as compared to centrally placed placenta which provide statistically significant results.

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Published

2021-01-01

Issue

Volume 8, Issue 1, January-June 2021

Section

Original Article

 

References

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