الفهرس 
Prediction of pregnancy - induced hypertenstion
Matrial and methodsOnly 14 pages are availabe for public view
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Abstract
ptIl1KARY AND COKCWSIOK
In this work we studied 100 randomly selected pregnant
females with no past history of hypertension, renal
or heart diseases or diabetes and with normal pregnancy.
In all women prediction of the development of pregnancy
induced hypertension (PIH) later in pregnancy was predicted
by calculating the mean arterial blood pressure, by
doing the rollover test (Rot) between 28-32 weeks of
pregnancy and by using the results of both tests.
In our cases it was found that:
1 - There was a positive MAP-2 test in 32 cases ( 32 % )
and a negative test 1n 68 cases’ ( 61 ” ).
2 - The Rot was positive in 10 cases ( 10 % )and negatvie
in 90 cases ( 90 % ).
3 - out of 32 positive cases for MAP-2, 6 cases ( 18.7 %)
had a positive ROT while the remaining 26 cases
(l8l.3% ) had a negative test. out of 68 negative
cases for MAP-2, only 4 cases ( 5.8 % )had a positive
ROT while the remaining 64 cases ( 84.2 % ) had a
negative test.
4 - out of the 100 studied cases, there were only 8 cases
( 8 % )who developed pregnan~y induced hypertension
at the end of pregnancy, while the remining 92 cases ..
- 81 -
( 92 ” ) remained normotensive.
5 - Out of the B cases whodeveloped PIH, 4 cases ( 50 ” )
were 15 to 19 years old, while the remaining were
above that age.
6 - All the cases whodeveloped PIHwere primigravidae.
7 - Out of the B cases whodeveloped PIH, there were -6
cases ( 75 ,,_) with a pos:Ltive fam1.lyhistory of hypertension
•
B - Out of 32 positive cases of KAP-2,6 cases ( 18.7 ” )
had a positive ROTand these samecases developed PIH
later. Out of the remaining 26 cases with a negative
ROT.only 2 cases developed PIH later. These two
cases are considered as false negative ROT,while the
rema1n(ng24eases 1fJlo. d14not develop PIH later were
considered as false P9sitive IlAP - 2.
9 - All the cases whohad a negative MAP- 2 and ROTdid
not develop PIH later in pregnancy.
10- The sensitivity of positive MAP- 2 in predicting PIH
,
_s 25 ” while that of positive ROTwas 60 ”. When
both tests were positive, the prediction sensitivity
increased to 75 ”.
11- Anegative llA.P - 2 was found’ to be 100 ” accurate in
- 82 -~
predicting cases that will not develop PIH later. A
negative roll•.over test was found to be 97.7 ”
accurate in predicting cases that will not develop
PIH later.
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