📊 Medical Prediction Examples

Sample cases demonstrating the prediction tools for both PE Twins and GDM

👶 Preeclampsia in Twins - Example Case

Case Study: 32-year-old pregnant with twins

First Trimester Values:
MAP: 85 mmHg PLGF: 45 pg/mL cffDNA: 12% Blood Type B: Yes DM: No Nulliparous: Yes
Second Trimester Values:
MAP: 88 mmHg PLGF: 38 pg/mL SFLT1: 2800 pg/mL sFLT1/PLGF: 73.7
Third Trimester Values:
MAP: 92 mmHg SFLT1/PLGF: 95.2 SFLT1: 3200 pg/mL PLGF: 33.6 pg/mL

PE Risk Assessment Results

First Trimester:

15.2% absolute risk

Second Trimester:

28.7% absolute risk

Third Trimester:

42.1% absolute risk

Clinical Interpretation:

Progressive Risk Increase: This case shows escalating preeclampsia risk across trimesters, from moderate (15.2%) to high risk (42.1%). The elevated sFLT1/PLGF ratio and rising MAP indicate need for:

  • Intensive maternal and fetal monitoring
  • Weekly clinic visits in third trimester
  • Consideration of early delivery planning
  • Blood pressure management and antihypertensive therapy

🩺 Gestational Diabetes Mellitus - Example Case

Case Study: 28-year-old pregnant with twins

First Trimester Baseline:
BMI: 28.5 kg/m² Glucose: 92 mg/dL History of GDM: No Aspirin: Yes MAP: 82 mmHg Caucasian: Yes
Additional Parameters:
GA 1st: 11.2 weeks NT2: 1.8 mm Platelets: 285,000 WBC: 8.2 × 10³ RBC: 4.1 × 10⁶ PreTwin ID: 2
Second Trimester Data:
EFW1: 520g Glucose: 98 mg/dL WBC: 9.1 × 10³
Third Trimester Data:
EFW2: 1850g PAPPA: 1.2 MoM

GDM Risk Assessment Results

Model 0 Risk:

12.3% absolute risk

First Trimester:

18.5% absolute risk

Second Trimester:

22.1% absolute risk

Third Trimester:

26.8% absolute risk

Clinical Interpretation:

Moderate Risk Profile: This case shows moderate GDM risk (26.8%) with gradual increase through pregnancy. Key risk factors include elevated BMI and twin pregnancy. Recommendations:

  • Enhanced monitoring with regular glucose screening
  • Dietary counseling and lifestyle modifications
  • Consider early glucose tolerance testing
  • Monitor fetal growth closely due to twin pregnancy
  • Nutritional consultation for optimal weight management

📋 Risk Interpretation Guide

Preeclampsia Risk Levels:
  • Low Risk (0-15%): Standard prenatal care
  • Moderate Risk (15-30%): Enhanced monitoring, consider aspirin
  • High Risk (>30%): Intensive monitoring, early delivery planning
GDM Risk Levels:
  • Low Risk (0-15%): Standard screening protocol
  • Moderate Risk (15-30%): Enhanced screening, lifestyle modifications
  • High Risk (>30%): Early testing, intensive management

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