ipl-logo

Pre-Eclampsia Case Study

827 Words4 Pages

Discussion:

Pre-eclampsia a hypertensive disorders complicating pregnancy (HDP) is a major disease which seriously endangers the safety of mother and fetus during pregnancy. Pre-eclampsia affects approximately 2-8 per cent of pregnancies worldwide and is considered as the major cause of maternal and fetal morbidity and mortality (14).Thus major efforts are being made to identify effective biomarkers for the risk assessment and disease management.
An ideal biomarker of pre-eclampsia is the one that would allow an accurate prediction during the first trimester as it offers a wide range for effective treatment that may help in complete recovery or reduce the severity of disease (15).
The preset study mainly focuses on biomarker Lipocalin-2 and …show more content…

The positive predictive value was 100%, negative predictive value was 100%, area under curve (AUC) was 1.0 and accuracy index was 100%. These results slightly differed, from those obtained by Sachan et al(17) who detected positive predictive value 98.58%, negative predictive value 90.63%, area under curve (AUC) was 95.72% and accuracy index was 97.11% at a cut-off value of 545ng/ml.
Serum Lipocalin 2 showed positive correlation with serum urea (r =0.309), serum creatinine (r=0.450) and proteinuria. Therefore Lipocalin2 might be considered a novel biomarker for early prediction of preeclampsia and also useful in assessment of disease severity. D’Anna et al (20) showed positive correlation of Lipocalin2 with the systolic, diastolic blood pressure and with proteinuria and considered Lipocalin2 a reliable biomarker for early prediction of …show more content…

Measurement of serum uric acid is recommended beside other biomarkers used in pre-eclampsia as it is of great diagnostic and prognostic value for fetus to assess the severity of morbidity, identifying those fetuses that are likely to have IUGR and high perinatal mortality. Additional studies involving larger populations are needed to further investigate the role of these biomarkers in the diagnosis and prediction of preeclampsia to avoid serious maternal complications and give the best possible chance of fetal

Show More
Related
293 Words | 2 Pages

The following is a case study focusing on the assessment and examination of a female patient presenting with symptoms of abdominal pain and vaginal bleeding during pregnancy to an emergency gynaecology and pregnancy assessment clinic. Names have been changed to maintain anonymity in line with the Nursing and Midwifery Council (NMC) (2015). The Calgary-Cambridge model of assessment (Kurtz and Silverman 1996) was used to guide the practitioner through the health assessment process. The guide provides an easy-to-use structure that complements nursing 's traditional holistic assessment approach.

Read More
921 Words | 4 Pages

Davidson et al., explains that because of the fact that preeclampsia is a complication of late pregnancy, if symptoms are seen in the first half of the pregnancy, molar pregnancy must be considered as the first diagnosis. (2012, p.

Read More
824 Words | 4 Pages

The main medicine for reducing bad cholesterol is statins, but some patients cannot tolerate it or do not get enough help from the drug. The study involved both Praulent and a similar medication, Repatha, manufactured by Amgen. But Repatha works in a different way and lowers cholesterol much more. The study on Praulent took a longer time and involved patients at a higher risk of heart events.

Read More
1137 Words | 5 Pages

Some of the tests for diagnosis during pregnancy include ultrasound, amniocentesis, and an AFP (alfa-fetaprotein) test. An ultrasound is a non-invasive test if done abdominally, and oftentimes spina bifida can be seen as a result of the ultrasound. Amniocentesis is an invasive procedure in which a needle is inserted into the amniotic sac and a sample of amniotic fluid is obtained and tested. If the level of AFP is found to be higher than average, this could be an indication of spina bifida.

Read More
1274 Words | 6 Pages

Hypertensive disorders of pregnancy contribute to significant maternal and perinatal morbidity and mortality in both developed and developing countries. Pre-eclampsia and eclampsia affects 5-10% of all the pregnancies and contributes to 10-15% of maternal deaths worldwide. Estimated case fatality rate due to eclampsia is 14 times higher in developing countries compared to developed countries 1,2. Preeclampsia is a multi-system disorder whose pathophysiology remains unclear. Preeclampsia is defined as a blood pressure of at least 140 mmHg systolic pressure and 90 mmHg diastolic pressure measured on two occasions 6 hours apart, accompanied by proteinuria of at least 300 mg per 24 hours, or at least 1+ on dipstick testing after 20 weeks3.

Read More
1159 Words | 5 Pages

Becker97 et al performed a metaanalysis of five randomized trials comprising 15,352 patients and found that use of ST-segment analysis did not reduce the rates of cesarean delivery or fetal metabolic acidemia at birth. Neilson98 reviewed the Cochrane Database to assess fetal ECG analysis during labor. There were 16,295 women in which such monitoring was performed. It was concluded that fetal ST-segment waveform analysis was useful in preventing fetal acidosis and neonatal encephalopathy when standard fetal heart rate monitoring suggested abnormal patterns.

Read More
653 Words | 3 Pages

As a result many couples were given the diagnosis only at birth. But under a new recommendation from the American College of Obstetricians

Read More
981 Words | 4 Pages

Cardiovascular stress related to pregnancy, labour and delivery may induce various degrees of cardiac failure in pregnants with cardiac diseases (2). A systolic pulmonary artery pressure of above 50 mmHg is associated with cardiac complications during pregnancy as functional status worsens more rapidly in pregnant patients with mitral valve stenosis. Cardiac decompensation and pulmonary oedema may occur at any time during the second or third trimester. Fluid restriction, diuretics, and control of atrial fibrillation are basic measures that can prevent pulmonary congestion (2). Safe use of NPPV and regional anaesthesia combination for caesarean section have previously described with several case reports in patients with respiratory failure due to kyphoscoliosis, neuromuscular diseases, acute respiratory distress syndrome, pneumonia and non-cardiogenic pulmonary oedema (3-5).

Read More
1640 Words | 7 Pages

A vital part of the nursing profession is nursing research. Clinical questions for specific patient problems are identified so that healthcare providers can find clinically relevant information using Internet search engines and databases (Higgins & Green, 2009). The main principle of nursing research is to produce new knowledge. The primary function of evidence based practice is to make evaluations about patient care built around the most current and best evidence that was collected by a systematic problem solving method. This paper will discuss hypothyroidism in pregnant women, and the risk fact of miscarriage during the first trimester of pregnancy.

Read More
1275 Words | 6 Pages

The following chapter describes the findings of the study. The chapter includes Phase I and Phase II activities. Phase I activities contain the findings from the Content Validation process including survey response and the initial item reduction. Phase II contains findings from the Construct Validation process including principal component analysis and final description of the factors of the new scale. The aim of the study was to develop a new tool that would be able to measure the readiness of practitioners entering and participating in an interprofessional team effectively.

Read More
583 Words | 3 Pages

Acid phosphatase test is the best idea to locate and

Read More
337 Words | 2 Pages

It is clear by reading Jane Black’s case that she has many issues that could possibly affect her pregnancy, along with her own life. Other than the obvious problems listed in her chart, such as drowsiness, difficulty focusing, weakness in her right side, inability os full use of her hand, and constant thirst, as a social worker, I have potentially found other issues. It is stated that Mrs. Black has three young children, one who has Cystic Fibrosis. Mrs. Black must have a lot of stress on her as she is the one who constantly ensures that her child’s lungs are clear. Mrs. Black most likely is the parent who spends the majority of time taking care of her other kids as well.

Read More
1216 Words | 5 Pages

PRE-ECLAMPSIA Description Preeclampsia is a condition that occurs only during pregnancy. Some symptoms of preeclampsia may include high blood pressure and protein in the urine, occurring after week 20 of pregnancy. Preeclampsia is often precluded by gestational hypertension. While high blood pressure during pregnancy does not necessarily indicate preeclampsia, it may be a sign of another problem. Pre-eclampsia is one of the most common cause of maternal and perinatal morbidity and mortality.

Read More
1756 Words | 8 Pages

Temple2 · Carlo La Vecchia1 · Giorgio Castellan3 · Alessandra Tavani4 · Valentina Guercio1 Estruch R, Ros E, Salas-Salvado J, Covas MI, Corella D, Aros F, Gomez-Gracia E, Ruiz-Gutierrez V, Fiol M, Lapetra J, Lamuela-Raventos RM, Serra-Majem L, Pinto X, Basora J, Munoz MA, Sorli JV, Martinez JA, Martinez-Gonzalez MA, Investigators PS (2013) Primary prevention of cardiovascular disease with a Mediterranean diet. N Engl J Med 368(14):1279–1290. Camargo, A., Delgado-Lista, J., Garcia-Rios, A., Cruz-Teno, C., Yubero-Serrano, E., Perez-Martinez, P., . . . Lopez-Miranda, J. (2012). Expression of proinflammatory, proatherogenic genes is reduced by the Mediterranean diet in elderly people.

Read More
1857 Words | 8 Pages

Throughout Thick and Thin One original fairy tale that teaches us the importance of family is “The Wild Swans” by Hans Christian Andersen. In this peculiar fairy tale, instead of a prince being a hero and rescuing the princess, it's a princess who makes sacrifices to save her 11 brothers. Throughout this fairy tale Anderson teaches us the value of family and he does this by involving religion. Moreover, Anderson speaks about the elements of weakness, abandonment, and loneliness as a form to connect to children. He also uses symbolism to portray a message.

Read More

More about Pre-Eclampsia Case Study

Related Topics

Open Document