الفهرس 
Aim of WorkOnly 14 pages are availabe for public view
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Abstract
Perfect discrimination at any early stage of pregnancy between who
remain normotensive and those who later on develop pregnancy induced
hypertension is a goal to maximise the safety of the mother and baby from
hypertensive disorder complications. Many clinical, biophysical and
biochemical tests have been recommended for predicting the development
of preeclampsia. The findings of numerous studies have been inconsistent
and contradictory, owing to the heterogenecity of the studied populations
and variations in the definitions used for hypertensive disorders during
pregnancy and in methods used to express results.
In this study, the mean arterial blood pressure, the roll over, the cold
pressor and the isometric exercise tests have been proposed to predict the
development of pregnancy induced hypertension.
from the results, it can be concluded that:
Preeclampsia was associated with a high concentration of serum
inhibin at 24 weeks denoting its validity as a good predictor of
preeclampsia before the appearance of clinical manifestations.
Tests reliant on blood pressure measurement (positive roll over,
cold pressor, isometric exercise tests and elevated mean arterial blood
pressure) when used individually as predictors for preeclampsia showed
good predictive values.
Discussion
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RECOMMENDATIONS
The addition of the screening tests for the prediction of preeclampsia to
the schedule of the routine antenatal care is encouraged especially for
primigravidas.
When roll over, cold pressor and isometric exercise tests and elevated
mean arterial blood pressure are used together as tests, for prediction of the
subsequent development of preeclampsia they show good sensitivity and
positive predictive values. Additionally, they are easy to perform, readily
interpretable, and non-invasive.
Serum inhibin is a good predictor of preeclampsia before the appearance
of clinical manifestations and should be done if resources allow.
To obtain a univesally acceptable and reliable screening test for
prediction of preeclampsia, further prospective studies are needed after
establishment of strict criteria to diagnose and classify hypertension during
pregnancy.
In addition., only healthy nulliparous pregnant women should be
included. Also for methods based on blood pressure measurements to be
effective, increased uniformity of recording measurement is necessary.