Pankaj Desai's Blogs

  Not being high-risk does not necessarily mean one is low-risk. It is well known that amongst many parameters to identify potential subjects for developing preeclampsia, nearly all are for identifying high-risk subjects. However there is hardly any research work published that can guide us to low-risk subjects. These are the days of not stopping at identifying high-risk but actually identifying low-risk subjects of preeclampsia. Why do we need to identify the low-risk subjects also? It has been found in clinical practice long since that not being high-risk does not necessarily mean one is low-risk. There are majority of subjects who are not high-risk but are also not necessarily low-risk. As a result we all are over using prophylactic measures. Also we are scared to stop prophylaxis once a subject is labelled high-risk and is never tested again. While pregnancy is a dynamic state, it surely happens that some subjects who may be high risk initially may cease to be so as pregnan...

Misunderstanding Misunderstanding FIGO Recommendations  On Prediction of PIH Introduction:            In its September 2019 issue International Journal of Gynaecology Obstetrics, FIGO recommendations on prediction of preeclampsia got published  1 . Since then thousands must have read it. It must have been referred to in many articles published in many journals by now. I am sure it must be helping many pregnant subjects throughout the world. However, what has driven me to write on this is one happening recently. In February this year, I was invited as a guest faculty to a state conference in India. Looking at my interest, extensive work and my original publications on preeclampsia for decades now, a couple of beaming office-bearers of the host organization came to me. What they told me alarmed me instead of making me happy. They said; “Sir, following the FIGO recommendations on preeclampsia prediction, we hav...