Some of the tests that can be done to determine the occurrence of preeclampsia, among others:

Blood pressure
It is said to be hypertension if the blood pressure is 140/90 mmHg. If this condition is found, the examination should be repeated 4-6 hours later. If it is still the same or higher, it is necessary to watch out for the occurrence of preeclampsia.

Urine Examination
If protein is detected in the urine with a positive value of 1 or 300 mg/24 hours, this is a sign of preeclampsia.

Blood Check
Examination that can be done as a risk predictor of preeclampsia is by examining sFlt-1 and PIGF. This examination aims to assess whether there are obstacles in blood flow to the placenta or not. If the sFlt-1 value increases and PIGF decreases, this indicates a potential for developing preeclampsia. From the results of the examination, it can be seen the ratio between sFlt-1/PIGF.

This ratio aims to see the onset of preeclampsia.

The interpretation of the results is:

The ratio of sFlt-1/PIGF 38 : predicted not having preeclampsia in 1 week.
sFlt-1/PIGF ratio >38 - <85 (at <34 weeks' gestation) or sFlt-1/PIGF ratio >38 - <110 (at >34 weeks' gestation): predicted in 4 weeks to experience symptoms of preeclampsia.
sFlt-1/PIGF ratio 85 (at <34 weeks gestation) or (sFlt-1/PIGF 110 (at >34 weeks gestation, most likely to have preeclampsia or other placental disorders).


Ultrasound Examination
With ultrasound examination is expected to see and monitor the development of the fetus and how the blood flow to the placenta.

Preeclampsia is still one of the causes of maternal morbidity and mortality worldwide. So that pregnant women should have regular prenatal checkups. If signs and symptoms are found that point to preeclampsia, then follow-up can be done immediately.

Author : dr. A. A. Ayu Trisna Purirani W. S (Medical Consultant Doctor PRAMITA Clinical Laboratory Jl. Cik Di Tiro No. 17 Yogyakarta)