Author ORCID Identifier
https://orcid.org/0000-0001-6893-1504
htttps://orcid.org/0009-0009-4466-7476
Abstract
Introduction: Pre-clampsia is a multisystem disorder in pregnancy. Initiating Low Dose Aspirin (LDA) in early pregnancy is recommended to prevent development of pre-eclampsia in high-risk women. Gestosis score is a simple screening tool for predicting women at risk for developing pre-eclampsia. It can be done by any health care provider even in the periphery. This study highlights the degree of awareness amongst obstetric healthcare providers in prediction and prevention of pre-eclampsia and the rates of appropriate initiation of Aspirin.
Methodology: 134 pregnant women were included in the study. The parameters for calculating the GESTOSIS score were retrieved from the earliest antenatal records. Woman with score >3 was considered high risk for developing pre-eclampsia. It was ascertained whether she was started on LDA. Rates of appropriate initiation of LDA based on the risk assessment, development of pre-eclampsia, its complications and obstetric outcome were correlated.
Results: Out of 134 women, 21 received LDA. 54 had high risk for development of pre-eclampsia as evidenced by the GESTOSIS score of > 3 in early pregnancy. Out of these, 15 women (27.78%) were started on Aspirin. 31 women developed pre-eclampsia. 11 out of 31 cases were missed by the GESTOSIS score, giving NPV of 86.25%.
Discussion: This study documents the rates of appropriate initiation of LDA as assessed by the GESTOSIS score. The findings underscore the fact that risk factors for pre-eclampsia are not routinely assessed in the antenatal period and the initiation of LDA for those with high risk is not a routine practice.
Publication Date
8-2025
Publisher
JSS Academy of Higher Education & Research
Keywords
Gestosis-score, Pre-eclampsia, Low dose Aspirin.
Word Count
2977
Recommended Citation
USHA M, HK N, Satyaraddi AA, Katageri GM.
Rates Of Appropriate Initiation Of Low Dose Aspirin Prophylaxis As Indicated By The Gestosis Score In Early Pregnancy: A Cross-Sectional Study.
Digital Journal of Clinical Medicine.
2025;
7(3):
-.
doi:
https://doi.org/10.55691/2582-3868.1259
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Cover Page Footnote
“Rates Of Appropriate Initiation Of Low Dose Aspirin Prophylaxis As Indicated By The Gestosis Score In Early Pregnancy: A Cross-Sectional Study” - Dr Nathasha H K Assitant professor, Dept of OBG SNMC&HSK Hospital and research centre Bagalkot – 587102.