Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
The creatinine clearance is not significantly different among normotensive and preeclampsia. Low Urinary calcium: creatinine (UCCR) of <0.04 in asymptomatic pregnant women of >20 weeks of gestation are associated with subsequent development of preeclampsia. Abnormal uterine artery a pulsatility index in the early weeks predict preeclampsia. Thus in this present study, urine calcium creatinine ration and doppler study are tested as parameters to predict the development of preeclampsia in asymptomatic pregnant woman and assessing better predictor among them. Hospital Based Prospective Clinical Study randomly selected pregnant women meeting the inclusion and exclusion criteria. The pregnant women in the study group will be subjected to detailed history including age, parity, duration of pregnancy and examination will be done including general examination, abdominal examination, routine laboratory investigations, calculate UCCR as well as ultrasound with doppler study at less than 20 weeks. Out of 100 women, 25 had UCCR <0.04 and out of which 14 developed Pre‐Eclampsia. Among them 33 had abnormal PI at 11‐14 weeks and out of which 24 developed Pre‐Eclampsia. In those 100 women, 58 had abnormal PI at 16‐20 weeks and out of which 23 developed Pre‐Eclampsia. Our study shows that we can predict preeclampsia by screening in early weeks of gestation i.e., by doing uterine artery doppler study during NT scan around 11‐14 weeks and also during TIFFA appointment around 16‐20 weeks and also by Urinary calcium creatinine ratio. This study shows that doppler study prediction is more sensitive and specific compared to urinary calcium creatinine ratio.
How to cite this article:
R. HimaBindu and P. HimaBindu. A Comparative Study of Urinary Calcium Creatinine Ratio Versus Doppler Study to Predict the Preeclampsia.
DOI: https://doi.org/10.36478/10.36478/makrjms.2020.244.248
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2020.244.248