Predicting adverse maternal and neonatal outcome in pre-eclampsia women using fullPIERS and miniPIERS calculator

Dr Sreeya Bose; Dr Girija Wagh

Volume : VIII, Issue : III, March - 2018

Predicting adverse maternal and neonatal outcome in pre-eclampsia women using fullPIERS and miniPIERS calculator

Dr Sreeya Bose, Dr Girija Wagh

Abstract :

Introduction: Favourable maternal and perinatal outcomes for women with pre–eclampsia/ eclampsia depends on early identification and treatment . Also the disorders associated with these conditions need to be evaluated .For this fullPIERS and miniPIERS risk prediction models have been validated and these are used in the present study .

Methodology: An observational study of 100 patients who were admitted in a tertiary care hospital with hypertension in pregnancy after 20 weeks from August 2015 till August 2017 was conducted . Socio–demographic profile, medical history, intrapartum and postpartum parameters , maternal as well as fetal were noted. Risk assessment of the patients for pre–eclampsia outcome prediction was done using the full PIERS and mini PIERS tool.

Results: Most common symptom observed in present study was headache, followed by nausea, chest pain/ dyspnoea, epigastric pain and visual disturbances. Adverse maternal outcome was significantly associated with complaints of headache, visual disturbances and dyspnoea. Weight of the baby less than 2.5 kg, admission of baby to neonatal intensive care unit, gestational age 34 weeks or more at delivery, platelet count less than 1.5 lakh per cumm and lactate dehydrogenase levels 600 IU/L or greater were found to be significantly associated with an adverse maternal outcome. Full PIERS and miniPIERS had an overall diagnostic accuracy of 90% and 91% respectively.

Conclusion: FullPIERS calculator predicted adverse maternal outcome according to risk score in women with preeclampsia. MiniPIERS also performed well to identify women at increased risk and thus could be used in tertiary care centres as well as resource–constraint settings in India.