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Use of FMF algorithm for prediction of preeclampsia in high risk pregnancies: a single center longitudinal study

Hypertens Pregnancy. 2021 May 12:1-9. doi: 10.1080/10641955.2021.1921791. Online ahead of print.

ABSTRACT

OBJECTIVE: This study aimed to assess the accuracy of The Fetal Medicine Foundation (FMF) screening algorithm for the prediction of preeclampsia.METHODS: Out of 138 women with high-risk pregnancies prospectively followed, 30 developed preeclampsia. The clinical examination and biochemical measurements were performed at first, second, early and late third trimester.RESULTS: A lower PAPP-A levels were found in the first trimester, while sFlt/PlGF was increased in the second and early third trimester in preeclampsia (p>0.05). FMF algorithm presented higher specificity (>70%), but had a drawback of lower sensitivity (35-77%).CONCLUSION: FMF algorithm had modest performance in the prediction of preeclampsia for high-risk pregnancies.

PMID:33979553 | DOI:10.1080/10641955.2021.1921791

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