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Abstract
CLINICAL AND BIOCHEMICAL PARAMETERS OF PREECLAMPSIA IN A SAMPLE OF IRAQI LADIES
*Sahbaa Gablan Younis
ABSTRACT
Background: Hypertensive illness during pregnancy creates a major potential risk to both maternal and fetal conditions. Preeclampsia is one of the most well-known gestational hypertensive condition, accounting for one of the most commonly recorded prenatal complications, affecting between 2 to 8% of all pregnancies. Objectives: Is to investigate clinical parameters of preeclampsia in a sample of Iraqi ladies. Methods: This is a prospective descriptive cross-sectional study conducted at Al-Salam Teaching Hospital from January 2024 to April 2025. The questionnaire consisted from three parts. Section one for sociodemographic information. The second part for the clinical and biochemical parameters such as platelet count (PLT), liver functions (AST, ALT, and ALP), blood sugar levels, and urine protein. The third part for perinatal outcomes, including mode of delivery (vaginal or cesarean), recovery time, previous abortion, maternal complications (infection, gestational diabetes, chronic hypertension, renal disease), neonatal outcomes (stillbirth), and baby weight. Results: The study included 500 pregnant ladies, 30 (6%) ladies of them had preeclampsia and 470 (94%) ladies had no preeclampsia. The mean age ± standard deviation of the study participants was 27.21 ± 5.65 years. Statistically significant difference between the two groups regarding their age, details of age categories, and parity. Moreover, statistically significant difference between them regarding their random blood sugar and protein in urine measurements. Additionally, statistically significant difference between them regarding platelet, AST, ALT and ALP. (Additionally, statistically significant difference was shown with regard to gestational diabetes, infection, renal disease, chronic hypertension, pregnancy outcome, delivery mood, and recovery time. Lastly, statistically significant difference was shown with regard to birth weight, number of still birth and preterm birth. (P value <0.001) for all of them. Conclusion: Many parameters included in this study are significantly found among patients with preeclampsia. These parameters include; sociodemographic variable (for example advanced maternal age, nulliparity), twin pregnancy, presence of gestational diabetes, protein in urine and elevated liver enzymes. Preeclampsia had higher rate of adverse maternal and fetal outcomes than normal healthy pregnancies warrant more attention and frequent antenatal care visits.
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