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      βhCG and PAPP-A in first trimester: predictive factors for preeclampsia?

      Hypertension in Pregnancy
      Adult, Biological Markers, blood, Chorionic Gonadotropin, beta Subunit, Human, metabolism, Female, Fetal Growth Retardation, Humans, Pre-Eclampsia, Predictive Value of Tests, Pregnancy, Pregnancy Trimester, First, Pregnancy-Associated Plasma Protein-A, Young Adult

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          Abstract

          The aim of our study was to investigate a possible correlation between the expression of the placenta-secreted hormones, β-subunit of human chorionic gonadotrophin (βhCG) and pregnancy-associated plasma protein A (PAPP-A), during the first trimester screening and the development of preeclampsia. A total of 155 patients between 11 + 0 and 13 + 6 weeks of gestation were enrolled in this study. PAPP-A and βhCG levels were measured using the KRYPTOR® system. The serum levels of βhCG were significantly higher in pregnancies which subsequently developed preeclampsia. The PAPP-A concentration did not differ significantly in pregnancies complicated by preeclampsia than in uncomplicated pregnancies. These results might contribute to developing new tests in the prediction of preeclampsia.

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