Background and Objective: Preeclampsia (PE) is one of the leading causes of maternal and perinatal morbidity and mortality worldwide. This disorder has profound short-term and long-term impacts on both the affected woman’s and her child’s health. Early preeclampsia prediction will reduce this associated morbidity and mortality as it will give the chance for frequent maternal and fetal surveillance and application of prophylactic procedures. The aim of this study to compare Perinatal Outcome of Mother and Fetus on the basis of screening and prevention of Preeclampsia between first and second trimester. Material and Methods: A retrospective cohort study conducted in M.L.B. Medical College, Jhansi. The study was included 1200 pregnant women who were screened either on first visit of their 1st trimester of pregnancy or either first visit of their 2nd trimester of pregnancy. The pregnant women divided into two groups according to their timing of first ANC visit in centre. They were monitored at every routine visit until pregnancy. At perinatal outcome in both groups were recorded and compared. Result: A total of 1,200 pregnant women enrolled in the study. There was no difference in both the groups with regards to maternal age. The mean uterine PI in group A was 1.85±0.3 while in group A it was 1.65±0.2 in group B, there was significant difference in both the groups with p<0.0001. There was statistically significant difference in both group when compared for preeclampsia, birth weight, rate of cesarean delivery. Conclusion: First-trimester screening of PE, which combines maternal factors, obstetric and medical history, biochemical and biophysical markers, is useful to predict early-onset PE in a routine care setting. Early prediction could potentially improve the outcome by close surveillance of the patient and timely intervention of prophylactic medications.
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