Oxygen Saturation as a Predictor of Adverse Maternal Outcomes in Women with Preeclampsia

Keywords: Pre-eclampsia, oxygen saturation, predictors

Abstract

Introduction: In preeclampsia, hypoxemia may result from a number of mechanisms. Preeclampsia remains a complex and poorly understood disease. Currently, there are no reliable predictors of preeclampsia for early diagnosis to avoid adverse maternal or perinatal outcomes.

Objective: The objective was to evaluate the efficacy of oxygen saturation (SpO2) as a predictor of adverse maternal outcome in women with preeclampsia.

Methodology: We conducted the cross-sectional study on 182 preeclamptic women selected by random sampling technique. They were divided into two groups on the basis of oxygen saturation: 29 preeclamptic women (Group L) having oxygen saturation 95% or below and 153 women (Group H) having oxygen saturation 96% or above. The groups were statistically compared with respect to age, gestational age, proteinuria, severity of hypertension and developing different adverse effect of preeclampsia. Women with any medical disorders were excluded.

Results: After statistical analysis, it was seen that the women having Spo2 ≤ 95% (L-Group) had experienced more adverse 2 outcomes. They were more hypertensive and more proteinuric, had higher liver enzyme levels, lower platelet counts, and were more likely to have experienced cardio-respiratory symptoms. Women with adverse outcomes were also more likely to have had therapeutic interventions, including corticosteroids, antihypertensives, and magnesium sulphate.

Conclusion: Women having SpO2 ≤ 95% (L-Group) had more adverse 2 outcomes in comparison to SpO2 ≥96%(H-Group).

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Author Biographies

Sweta Rani, Anurag Narayan Magadh Medical College and Hospital, Gaya, Bihar, India

Department of Obstetrics and Gynaecology

Pallab Kumar Mistri, Medical College, Kolkata, West Bengal, India

Department of Obstetrics and Gynaecology

Published
2019-05-03
How to Cite
Rani, S., & Mistri, P. (2019). Oxygen Saturation as a Predictor of Adverse Maternal Outcomes in Women with Preeclampsia. Birat Journal of Health Sciences, 4(1), 582-585. https://doi.org/10.3126/bjhs.v4i1.23926
Section
Original Research Articles