EFFICIENCY EVALUATION OF ANAMNESTIC PROGNOSIS MODEL FOR PREECLAMPSIA DEVELOPMENT
Goal of research: to evaluate the efficiency of preeclampsia development prognosis on the ground of anamnestic predictors. The were 320 women in the “case-control” investigation whose pregnancy course was not complicated by preeclampsia development without using its preventive services (low-dose aspirin and/or calcium preparations), there also were 55 pregnant women with moderate preeclampsia and 30 with severe one. We have studied anamnesis characteristics, pregnancy and delivery outcomes the efficiency of anamnestic data was also estimated in preeclampsia development prognosis. At the end of our investigation it was established that the usage of anamnestic prognostic preeclampsia model presented as jointly used prognosis enquires of preeclampsia (moderate/severe) and additionally of severe preeclampsia allows us to reveal the risk group of preeclampsia development with sufficiently high sensibility (to 89,4 %) and specificity (to 83,7 %). The presence of infertility in anamnesis and multiple present pregnancy increase the risks of severe preeclampsia development by a factor of 5, the presence of arterial hypertension in father, chronic arterial hypertension in gravida, preeclampsia in anamnesis, present pregnancy upon ART-IVF-program – by a factor of 4, premature labor and placental abruption in anamnesis, body mass index 25 kg/m2 and more – by a factor of 3.