# Hypertensive disorder prediction among first-trimester antenatal patients using Gestosis score

## TL;DR

A new scoring system called Gestosis Score accurately predicts pre-eclampsia in early pregnancy using simple maternal data.

## Contribution

The Gestosis Score is a novel, cost-effective tool for early prediction of hypertensive disorders in pregnancy.

## Key findings

- A Gestosis Score of ≥3 predicted pre-eclampsia with 84.64% sensitivity and 96.04% specificity.
- 17.23% of participants developed pre-eclampsia, showing a strong correlation with higher scores.
- The score is practical for use in resource-limited settings to identify high-risk pregnancies early.

## Abstract

The hypertensive disorders of pregnancy Gestosis Score is a cost-effective tool designed to predict hypertensive disorders of
pregnancy (HDP), including pre-eclampsia, using maternal history, clinical parameters and laboratory data. Hence, a study of 100
first-trimester antenatal patients found that a Gestosis Score of ≥3 had a sensitivity of 84.64%, specificity of 96.04% and
diagnostic accuracy of 93.00% for predicting pre-eclampsia. Pre-eclampsia developed in 17.23% of participants, with a significant
correlation between higher Gestosis Scores and increased risk (p < 0.05). Primigravida women (78%) and younger age groups (21-25
years, 49%) were predominant in the study population. The hypertensive disorders of pregnancy Gestosis Score are a reliable and
practical screening tool, particularly beneficial in resource-limited settings for early identification of high-risk pregnancies and
timely intervention to improve maternal and fetal outcomes.