To Study of Diagnostic Accuracy of The History Based HDP Gestosis Score In Pre-Eclampsia Patients

Author(s): Dr. Richa Sharma, Dr. Divya Kushwaha, Dr. Patel Karishma Parth, Dr. Priyankawaskle

Background:

Pre-eclampsia stands out among the hypertensive disorders for its impact on maternal and neonatal health. It is one of the leading causes of maternal and perinatal mortality and morbidity worldwide.

Aim:

To study of diagnostic accuracy of the history based HDP Gestosis score.

Materials and Methods:

This is a Retrospective Case Control Study conducted at the Department of obstetrics & gynecology of Dr. Baba Saheb Ambedkar Medical College & Hospital, Sector-6, Rohini, New Delhi for a duration of 1 year. Women admitted in post-natal ward of Dr BSA hospital diagnosed with and without preeclampsia satisfying the inclusion and exclusion criteria categorized in 2 groups case (group A) and control (group B). Case was defined as a woman delivered within the preceding two days and diagnosed by the obstetrician as being preeclamptic as per ISSHP4 definition. Control was a normotensive woman delivering within the preceding two days. Study subjects on aspirin during pregnancy, delivery before 24 weeks of gestation & Unconscious subject (unable to provide information) were excluded. Their ANC records and previous medical records were analyzed.

Results:

Risk of pre-eclampsia was lower in age group 21-30 years and 31- 40 years with odds ratio of 0.019(0.003 to 0.104) and 0.119(0.021 to 0.684) respectively. Median (25th-75th percentile) of gestosis score in group A was 18.5(14.75-23) which was significantly higher as compared to group B (2(1- 2)). (p value <.0001). Women with high gestosis score had significantly high risk of pre-eclampsia with odds ratio of 11.521(1.363 to 1.698).

Conclusion:

Women with high gestosis score had significantly high risk of pre-eclampsia with odds ratio of 11.521(1.363 to 1.698). Gestosis score is a significant predictor of pre-eclampsia with a Sensitivity of 90.18%, Specificity of 99.11% and Diagnostic accuracy of 94.64%.