Oxygen Saturation as a Predictor of Adverse Maternal Outcomes in Women with Preeclampsia

Journal of Obstetrics and Gynaecology Canada

Volumn 33, Issue 7, 2011, Pages 705-714

  Millman, Alexandra L ^a   Payne, Beth ^a   Qu, Ziguang ^a   Joanne Douglas, M ^a   Hutcheon, Jennifer A ^a   Lee, Tang ^a   Magee, Laura A ^a   Walley, Keith R ^a   von Dadelszen, Peter ^a   Walters, Barry N ^b   Ansermino, J Mark ^b   Benton, Samantha ^b   Côté, Anne Marie ^b   Cundiff, Geoff ^b   Gruslin, Andrée ^b   Hugo, Dany ^b   Joseph, K S ^b   Lalji, Sayrin ^b   Lee, Shoo K ^b   Li, Jing ^b   Lott, Paula ^b   Menzies, Jennifer ^b   Moutquin, Jean Marie ^b   Ouellet, Annie B ^b   Russell, James A ^b   Shaw, Dorothy ^b   Smith, Graeme N ^b   Still, D Keith ^b   Tawagi, George ^b   Wagner, Brenda ^b   Mahajan, Swati ^b   Noovao, Amanda ^b   Kyle, Phillipa M ^b   Moore, M Peter ^b   Hall, David ^b   Steyn, D Wilhelm ^b   Biryabarema, Christine ^b   Mirembe, Florence ^b   Nakimuli, Annettee ^b   Pipkin, Fiona Broughton ^b   Loughna, Pamela ^b   Walker, James J ^b   Grobman, William ^b   Tsigas, Eleni ^b   Merialdi, Mario ^b   Widmer, Mariana ^b   more..

^a UNIVERSITY OF BRITISH COLUMBIA   (Canada)

^b NONE   (Australia)

Author keywords

Oximetry; Preeclampsia; Pregnancy

Indexed keywords

ANTIHYPERTENSIVE AGENT; CORTICOSTEROID; OXYGEN;

ADULT; ARTICLE; CARDIOPULMONARY INSUFFICIENCY; COHORT ANALYSIS; CONTROLLED STUDY; DELPHI STUDY; DYSPNEA; FEMALE; HIGH RISK POPULATION; HOSPITAL ADMISSION; HUMAN; HYPERTENSION; INTERMEDIATE RISK POPULATION; LOW RISK POPULATION; MAJOR CLINICAL STUDY; MATERNAL HYPERTENSION; OXYGEN SATURATION; PREDICTIVE VALUE; PREECLAMPSIA; PREGNANCY OUTCOME; PROSPECTIVE STUDY; PULSE OXIMETRY; RESPIRATORY FUNCTION; RESPIRATORY TRACT PARAMETERS; RISK ASSESSMENT; RISK FACTOR; TERTIARY HEALTH CARE; THORAX PAIN; BLOOD; OXIMETRY; PREGNANCY; PROGNOSIS; RECEIVER OPERATING CHARACTERISTIC;

ADULT; CHEST PAIN; DYSPNEA; FEMALE; HUMANS; OXIMETRY; OXYGEN; PRE-ECLAMPSIA; PREGNANCY; PREGNANCY OUTCOME; PROGNOSIS; RISK FACTORS; ROC CURVE;

EID: 82255166793     PISSN: 17012163     EISSN: None     Source Type: Journal    
DOI: 10.1016/S1701-2163(16)34955-6     Document Type: Article

References (26)

1. World Health Organisation, UNFPA, UNDP, The World Bank, UNICEF Maternal mortality in 2005: estimates developed by WHO, UNICEF, UNFPA, and The World Bank. Geneva: WHO 2007.
2. Menzies J., Magee L.A., Macnab Y.C., Ansermino J.M., Li J., Douglas M.J., et al. Current CHS and NHBPEP criteria for severe preeclampsia do not uniformly predict adverse maternal or perinatal outcomes. Hypertens Pregnancy 2007, 26:447-462.
3. von Dadelszen P., Menzies J.M., Payne B., Magee L.A. Predicting adverse outcomes in women with severe pre-eclampsia. Semin Perinatol 2009 Jun, 33:152-157.
4. De Felice C., Leoni L., Tommasini E., Tonni G., Toti P., Del Vecchio A., et al. Maternal pulse oximetry perfusion index as a predictor of early adverse respiratory neonatal outcome after elective cesarean delivery. Pediatr Crit Care Med 2008, 9:203-208.
5. East C.E., Chan F.Y., Colditz P.B., Begg L.M. Fetal pulse oximetry for fetal assessment in labour. Cochrane Database Syst Rev 2007, 2. CD004075.
6. Nordenholz K., Ryan J., Atwood B., Heard K. Pulmonary embolism risk stratification: pulse oximetry and pulmonary embolism severity index. J Emerg Med 2011, 40:95-102.
7. Pedersen T., Moller A.M., Hovhannisyan K. Pulse oximetry for perioperative monitoring. Cochrane Database Syst Rev 2009, 4. CD002013.
8. Shoemaker W.C., Wo C.C., Lu K., Chien L.C., Bayard D.S., Belzberg H., et al. Outcome prediction by a mathematical model based on noninvasive hemodynamic monitoring. J Trauma 2006, 60:82-90.
9. Witting M.D., Lueck C.H. The ability of pulse oximetry to screen for hypoxemia and hypercapnia in patients breathing room air. J Emerg Med 2001, 20:341-348.
10. Van Hook J.W., Harvey C.J., Anderson G.D. Effect of pregnancy on maternal oxygen saturation values: use of reflectance pulse oximetry during pregnancy. South Med J 1996, 89:1188-1192.
11. Griffin R.P., Reynolds F. Maternal hypoxaemia during labour and delivery: the influence of analgesia and effect on neonatal outcome. Anaesthesia 1995, 50:151-156.
12. Porter J.S., Bonello E., Reynolds F. The effect of epidural opioids on maternal oxygenation during labour and delivery. Anaesthesia 1996, 51:899-903.
13. Thorp J.A., Neimark M., Poskin M. Maternal oxygen desaturation with intravenous magnesium therapy. Obstet Gynecol 1997, 89:963-966.
14. Valdez-Lowe C., Ghareeb S.A., Artinian N.T. Pulse oximetry in adults. Am J Nurs 2009, 109:52-59.
15. von Dadelszen P., Payne B., Li J., Ansermino J.M., Broughton Pipkin F., Cote A.M., et al. Predicting adverse maternal outcomes in pre-eclampsia: the fullPIERS (Pre-eclampsia Integrated Estimate of RiSk) model-development and validation. Lancet 2011, 377:219-227.
16. Magee L.A., Helewa M.E., Moutquin J.M., von Dadelszen P., Cardew S., Cote A.M., et al. Diagnosis, evaluation and management of the hypertensive disorders of pregnancy. SOGC Clinical Practice Guidelines, No. 206, March 2008. J Obstet Gynaecol Can 2008, 30(3 Suppl 1):S1-S48.
17. Menzies J., Magee L.A., Li J., Yin R., Lam E., Stuart H., et al. Instituting surveillance guidelines and adverse outcomes in preeclampsia: a single site study. Obstet Gynecol 2007, 110:121-127.
18. Pre-eclampsia Integrated Estimate of RiSk (PIERS) [website] University of British Columbia Child and Family Research Institute 2011, Available at:, Accessed May 13. http://www.piers.cfri.ca.
19. West J.B. Ventilation-perfusion relationships. Respiratory physiology: the essentials 2008, 55-74. Lippincott Williams & Wilkins, Philadelphia, Chapter 5. 8th ed.
20. Duley L., Farrell B., Spark P., Roberts B., Watkins K., Bricker L., et al. Do women with pre-eclampsia, and their babies, benefit from magnesium sulphate? The Magpie Trial: a randomised placebo-controlled trial. Lancet 2002, 359(9321):1877-1890.
21. Roberts J.M., Bodnar L.M., Lain K.Y., Hubel C.A., Markovic N., Ness R.B., et al. Uric acid is as important as proteinuria in identifying fetal risk in women with gestational hypertension. Hypertension 2005, 46:1263-1269.
22. Richlin S., Cusick W., Sullivan C., Dildy G., Belfort M. Normative oxygen saturation values for pregnant women at sea level. Prim Care Update Ob Gyns 1998, 5:154-155.
23. Lewis G. Saving mothers' lives: reviewing maternal deaths to make motherhood safer. The 7th report of the Confidential Enquiries into Maternal Deaths in the United Kingdom 2007, Confidential Enquiry into Maternal and Child Health, London.
24. Thornton C.E., von Dadelszen P., Makris A., Tooher J.M., Ogle R.F., Hennessy A. Acute pulmonary oedema as a complication of hypertension during pregnancy. Hypertens Pregnancy 2011, 30:169-179.
25. Van Hook J.W. Acute respiratory distress syndrome in pregnancy. Semin Perinatol 1997, 21:320-327.
26. Cretikos M.A., Bellomo R., Hillman K., Chen J., Finfer S., Flabouris A. Respiratory rate: the neglected vital sign. Med J Aust 2008, 188:657-659.