Prediction of Pre-Eclampsia by Urinary Calcium and Creatinine Ratio

Khandelwal, Smriti; Tayade, Surekha; Gode, Chetan

doi:10.31782/ijcrr.2020.sp69

Cited by 3 publications

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“…14 Khandelwal, S., et al in their study analysed the use of urinary calcium and creatinine ratio in prediction of preeclampsia. 15 Patwa PA, et al in their study discussed about the utility of uterine artery doppler indices for prediction of preeclampsia. 16 This study aspires to bridge the research gap in non-adherence to antihypertensive drugs among pregnant women with preeclampsia in rural areas.…”

Section: Discussionmentioning

confidence: 99%

A comparative study to monitor drug adherence to antihypertensive drugs among preeclamptic women and to determine factors contributing to drug compliance restrictions.

Agrawal,

Quazi Syed

2023

F1000Res

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Background Preeclampsia, a perilous pregnancy complication, affects 4–5% of pregnancies worldwide, contributing to a significant proportion of maternal deaths, particularly due to pregnancy-related hypertension diseases. Adherence to antihypertensive medication is crucial for improving maternal and fetal health outcomes. However, evidence suggests that pregnant women often fail to comply with prescribed regimens, with reasons ranging from ignorance to amnesia. Methods This study proposes a cross-sectional, questionnaire-based approach to assess drug adherence among pregnant patients with preeclampsia in rural areas. The study aims to evaluate awareness levels and barriers to adherence. The study will be conducted in a tertiary care teaching hospital and will involve 114 eligible patients. Sociodemographic data, diagnosis, medication details, awareness about antihypertensive use, and medication adherence will be collected through semi-structured interviews and questionnaires. The 8-Item Morisky’s Medication Adherence Scale (MMAS-8) will be employed to assess adherence levels. Data analysis will involve descriptive statistics, Chi-square tests, and logistic regression. Expected results The study anticipates revealing insights into the level of drug adherence and awareness among pregnant women with preeclampsia. By identifying barriers to adherence, the study aims to tailor interventions to enhance compliance, reduce costs, and optimize drug therapy. The dissemination of results through publication in indexed journals and presentation at scientific conferences will contribute to the understanding of medication adherence in pregnancy-related disorders.

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Section: Discussionmentioning

confidence: 99%

A comparative study to monitor drug adherence to antihypertensive drugs among preeclamptic women and to determine factors contributing to drug compliance restrictions.

Agrawal,

Quazi Syed

2023

F1000Res

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“…A meta-analysis by Jackson et al reported in 2004, comparing 12,283 In vitro Fertilization singleton births to 1.9 million unassisted singleton births found increase rates of morbidity in the In vitro Fertilization group including preeclampsia [14]. Studies related to pre-eclampsia and eclampsia were reported from this region [16][17][18]. Thorat et al [19] and Singh et al [20] reported studies on different IVF related issues.…”

Section: Discussionmentioning

confidence: 99%

Management of Hypertension in Elderly Pregnant Women with IVF Conception: A Case Report

Kawale

Patil

2021

JPRI

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Introduction: Hypertensive complications associated with pregnancy are the primary cause of maternal and fetal morbidity. Early development of cardiovascular disease is also anticipated relatively early after pregnancy is terminated. Over the past 20 years, infertility treatments have steadily increased and proven effective in achieving significant successful conception rates and live birth rates, even among women younger than 35 years of age. Symptoms and important clinical findings: A 45 year sold female was admitted in AVBRH on date 22/01/2021 with chief complaint of breathing difficulty (elderly G5P1D1A3 with 28 weeks of gestational age)having history of previous LSCS with IVF conception with gestational hypertension. Obstetric history: Patient had bad obstetric history of three abortionsand one still-birth. In 2017 she had got the menopause. After menopause she took the treatment in AVBRH Sawangi (M) Wardha and got the regular menses.After regular menses, shereceived IVF cycle and she was conceived in 2nd IVF cycle. The main diagnoses, therapeutic interventions, and outcomes: After physical examination and investigations, this case was diagnosed having 28 weeks of gestation with hypertension. Patient had previous history of LSCS.Patient was treated with antihypertensive drugs to reduce the symptoms of eclampsia. Alsoshe was provided calcium supplement and iron supplement. Present case was stable but ultrasonography revealedsign of stage I- intra uterine growth restriction. Nursing perspectives: Fluid replacement i.e. DNS and RL, monitoring offetal heart rate and vital signs per hourly. Conclusion: Conception with in vitro fertilization have increased risk of gestational hypertension as well as fetal complications like intra uterine growth restriction. But timely treatment and management improves the outcome of pregnancy.

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“…Dhingra et al reported a study of management of pregnancy induced hypertension by magnesium sulfate and a calcium channel blocker [9]. Sharma et al assessed impact of diabetic ketoacidosis in pregnancy [10]. Chadha et al assessed the correlation between spot urinary protein/creatinine ratio and serum uric acid and its association with feto-maternal outcome in hypertensive pregnancy [11].…”

Section: Discussionmentioning

confidence: 99%

Management and Outcomes of Pregnancy with Gestational Hypertension and Hyperthyroidism: A Case Report

Dagadkar

2021

JPRI

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Introduction: Hyperthyroidism associated increases in thyroid hormone concentrations have to be differentiated from physiological adjustments in thyroid hormone economic system that rise up all through being pregnant, especially in the first trimester. For one thousand births, one or two instances of gestational hyperthyroidism exist. It's critical to stumble on hyperthyroidism in a pregnant female due to the fact it is able to have harmful outcomes for each the mom and the infant. Presenting Complaint and Investigations: Patient’s chief complaints were vomiting, discomfort since 2 days. After physical examination and investigations, doctor diagnosed this as case of G2A1 with 35 weeks gestational age. This was a known case of gestational hypertension with hyperthyroidism. Investigations included Blood test, urine test, thyroid Profile, USG. Obstetric History: Patient had bad obstetric history. 2.5 months spontaneous abortion was reported. The Main Diagnoses, Therapeutic Interventions, and Outcomes: Gestational Hypertension with Known case of Hyperthyroidism. The patient had undergone various investigations like blood tests, USG, Physical examination. After physical examination and investigation doctor took a decision of emergency Lower segmental Caesarean section. Under spinal anaesthesia Lower segmental Caesarean section was done and outcome is good. Nursing Perspectives: Administered fluid replacement i.e. DNS and RL, Fetal monitoring, monitored all vital signs and observed the outcomes of treatment. Conclusion: Treatment and control of hypertension and hyperthyroidism in pregnancy at the right time increases the pregnancy's outcome.

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Prediction of Pre-Eclampsia by Urinary Calcium and Creatinine Ratio

Cited by 3 publications

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A comparative study to monitor drug adherence to antihypertensive drugs among preeclamptic women and to determine factors contributing to drug compliance restrictions.

A comparative study to monitor drug adherence to antihypertensive drugs among preeclamptic women and to determine factors contributing to drug compliance restrictions.

Management of Hypertension in Elderly Pregnant Women with IVF Conception: A Case Report

Management and Outcomes of Pregnancy with Gestational Hypertension and Hyperthyroidism: A Case Report

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