M. S., A., Elham. S., M., Kh. F., A. (2016). EARLY DETECTION OF HELLP SYNDROME USING BIOLOGICAL MARKERS AND DOPPLER ULTRASONOGRAPHY. test, 36(1), 55-76. doi: 10.21608/jes.2016.26193
Al-Bokhary, M. S.; Marei, Elham. S.; Al-Debaiky, Kh. F.. "EARLY DETECTION OF HELLP SYNDROME USING BIOLOGICAL MARKERS AND DOPPLER ULTRASONOGRAPHY". test, 36, 1, 2016, 55-76. doi: 10.21608/jes.2016.26193
M. S., A., Elham. S., M., Kh. F., A. (2016). 'EARLY DETECTION OF HELLP SYNDROME USING BIOLOGICAL MARKERS AND DOPPLER ULTRASONOGRAPHY', test, 36(1), pp. 55-76. doi: 10.21608/jes.2016.26193
M. S., A., Elham. S., M., Kh. F., A. EARLY DETECTION OF HELLP SYNDROME USING BIOLOGICAL MARKERS AND DOPPLER ULTRASONOGRAPHY. test, 2016; 36(1): 55-76. doi: 10.21608/jes.2016.26193

EARLY DETECTION OF HELLP SYNDROME USING BIOLOGICAL MARKERS AND DOPPLER ULTRASONOGRAPHY

Journal of Environmental Science
Article 3, Volume 36, Issue 1, December 2016, Pages 55-76    PDF (539.94 K)
Document Type: Review Article
DOI: 10.21608/jes.2016.26193
Authors
Al-Bokhary, M. S.1; Marei, Elham. S.2; Al-Debaiky, Kh. F.2
1Institute of Environmental Studies and Research Ain Shams University
2National Center for Radiation Research and Technology (NCRRT), Atomic Energy Authority (AEA).
Abstract
Purpose: To determine the relationship between pregnancy-associated plasma protein-A (PAPP-A) levels and uterine Doppler ultrasonography for the prediction of severe preeclampsia (PE)  and HELLP syndrome at the last trimester.
Methods: Two groups were constructed; severe preeclampsia group consisted of 38 women; HELLP Syndrome group consisted of 12 women. Both groups were matched strictly for gestational age at last trimester. Maternal blood sample for PAPP-A was collected and uterine Doppler ultrasonography was performed as soon as any woman under the study was diagnosed as severe preeclampsia or HELLP syndrome at last trimester and compared.
Results: Mean ages of participants, Parity, gestational weeks and fetal weights were similar. Mean PAPP-A levels were significantly higher in severe preeclampsia and HELLP groups. There was a statistically significant difference regarding Resistive Index (RI) (P<0.001) and Pulsatility Index (PI) (P=0.005) between cases presenting with severe preeclampsia and HELLP groups.
Conclusion: PAPP-A levels could provide prediction for severe preeclampsia and HELLP syndrome at last trimester. Increased uterine artery resistance in the third trimester of pregnancy could be used to predict maternal complications including severe preeclampsia and HELLP syndrome.
 
Keywords
Keywords: pre-eclampsia; HELLP syndrome; early prediction; maternal risk factors; mean maternal arterial pressure; Doppler ultrasound parameters; biomarker; pregnancy associated plasma protein-A (PAPP-A)
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