A prospective study to determine the predictive ability of hypertensive disorders during pregnancy-gestosis score for the development of pre-eclampsia

Authors

  • Pavithra Reddy Department of Obstetrics and Gynecology, MVJ MC and RH, Bangalore, Karnataka, India
  • Chaitanya Indrani Department of Obstetrics and Gynecology, MVJ MC and RH, Bangalore, Karnataka, India
  • Vandana Vydyanath Department of Obstetrics and Gynecology, MVJ MC and RH, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20242989

Keywords:

HDP score, Gestosis, Preeclampsia, Prediction

Abstract

Background: Hypertensive disorders during pregnancy (HDP)-gestosis score is a risk scoring system (score 1-3) for the development of pre-eclampsia. When a pregnant woman’s total score is equal to or greater than 3, she is labelled as “at risk for pre-eclampsia” and is managed accordingly. Objectives were to determine the sensitivity, specificity, and diagnostic accuracy of HDP-gestosis score for predicting pre-eclampsia (PE).

Methods: This prospective study included 100 pregnant women who presented at the department of obstetrics and gynaecology. After 20 weeks of pregnancy, the patients were assessed for the development of pre-eclampsia. Details of age, gravida, obstetric history, menstrual cycle regularity, polycystic ovarian disease history, duration of marriage, parity, past medical and surgical intervention, previous/present medication, and family history were taken. Gestosis score was calculated and classified into mild (score of 1), moderate (score of 2) and high risk (score of ≥ 3) for the development of PE. Sensitivity, specificity, and diagnostic accuracy of HDP-gestosis score for predicting the development of PE were determined.

Results: The mean age, gestational age, and body mass index (BMI) of the women were 28.4±6.8 years, 11.5±2.04 weeks, and 24.5±3.7 kg/m2, respectively. The gestosis score was 2 in 43.13% of the participants, 1 in 42.28%, and ≥3 in 14.59% of the women. PE developed in 15.01% (n=71) participants. The sensitivity, specificity, PPV, NPV, and diagnostic accuracy of HDP-gestosis score for predicting PE were 83.1%, 97.51%, 85.51%, 97.03% and 95.35%, respectively.

Conclusions: Gestosis score is a novel early marker for prediction of the development of PE allowing for a prompt management for the patients, thereby curbing the adverse consequences.

 

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Published

2024-10-07

How to Cite

Reddy, P., Indrani, C., & Vydyanath, V. (2024). A prospective study to determine the predictive ability of hypertensive disorders during pregnancy-gestosis score for the development of pre-eclampsia. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 13(11), 3066–3070. https://doi.org/10.18203/2320-1770.ijrcog20242989

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Original Research Articles