الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Preeclampsia/eclampsia is the most common serious medical disorder of pregnancy. Many clinical, biophysical and biochemical tests (over 100) have been recommended for predicting pregnancy associated hypertension (PAH). Biochemical methods are however, not practical for screening due to their high cost and non-availability of necessary equipment in most hospitals. Clinical and biophysical tests are readily available and can be easily done in any antenatal clinic, and performed by young obstetricians, with no undue discomfort or harm to the gravidae.
A comparative observational prospective study was carried out in Benha medical insurance hospital, Egypt.The aim of the study was to assess the value of clinical and biophysical tests for the prediction of gestational hypertension and preeclampsia. The tests included: blood pressure (systolic, diastolic), mean arterial blood pressure, isometric exercise test and roll-over test.The study included 300 primigravidae (PG), age 20 to 30 years, between 20 – 32 weeks gestation with singleton pregnancy, nonsmoker and with no medical illness or family history of preeclampsia or gestational hypertension. The blood pressure was measured with certain precautions and MAP was calculated. Urine was tested for proteinuria at ± 20, 24, 28 and 32 w gestation. Isometric exercice test (IET) was done at ± 20, 24, 28 and 32 w gestation and the Roll over test (ROT) was done at 28 and 32 weeks. All these tests are readily available with no cost and no discomfort. All cases were followed up till delivery and were classified into: Normotensive: Those who remain normotensive BP ≤ 140/90 mmHg till 38 – 40 wks or delivery.
–Gestational hypertension (GH): Those who developed DBP > 90 mmHg or SBP > 140 mmHg without proteinuria at antenatal visits.