Prospective biomarkers in preterm preeclampsia: a review

dc.check.date2019-03-23
dc.check.infoAccess to this article is restricted until 12 months after publication by request of the publisher.en
dc.contributor.authorMcCarthy, Fergus P.
dc.contributor.authorRyan, Roisin M.
dc.contributor.authorChappell, Lucy C.
dc.date.accessioned2018-04-03T11:41:14Z
dc.date.available2018-04-03T11:41:14Z
dc.date.issued2018-03-23
dc.description.abstractPreterm pre-eclampsia (prior to 37 weeks’ gestation) remains a major cause of maternal and fetal morbidity and mortality particularly in low to middle income countries. Much research has focused on first and second trimester predictors of pre-eclampsia with the aim of allowing stratification of antenatal care and trialling of potential preventative and therapeutic agents. However, none have been shown to be of benefit in randomised controlled trials. In this literature review we critically evaluate predictive and diagnostic tests for preterm pre-eclampsia and discuss their clinical use and potential value in the management of preterm pre-eclampsia. We defined preterm pre-eclampsia as pre-eclampsia occurring prior to 37 weeks’ gestation. Substantial progress has been made in the development of predictive screening tests for preterm pre-eclampsia, but further research is needed prior to their introduction and integration into routine clinical practice. The performance of diagnostic tests mainly utilising angiogenic and anti-angiogenic factors for determining time to delivery in later pregnancy currently hold more promise than first trimester predictive tests, possible reflecting the heterogeneity of pre-eclampsia.en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationMcCarthy, F. P., Ryan, R. M. and Chappell, L. C. (2018) 'Prospective biomarkers in preterm preeclampsia: a review', Pregnancy Hypertension, In Press, doi:10.1016/j.preghy.2018.03.010en
dc.identifier.doi10.1016/j.preghy.2018.03.010
dc.identifier.endpage32en
dc.identifier.issn2210-7789
dc.identifier.journaltitlePregnancy Hypertensionen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/5722
dc.language.isoenen
dc.publisherElsevieren
dc.rights© 2018 International Society for the Study of Hypertension in Pregnancy. Published by Elsevier B.V. All rights reserved. This manuscript version is made available under the CC-BY-NC-ND 4.0 license.en
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.subjectHypertensionen
dc.subjectPreterm pre-eclampsiaen
dc.subjectPlacental growth factoren
dc.subjectPregnancyen
dc.subjectScreeningen
dc.titleProspective biomarkers in preterm preeclampsia: a reviewen
dc.typeArticle (peer-reviewed)en
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