Review Article

First Trimester Biomarkers in the Prediction of Later Pregnancy Complications

Table 2

Summary of first trimester multiparametric tests for later pregnancy complications.

ComplicationAuthorBiomarkersDetection rateFalse positive rate

PreeclampsiaPoon et al., 2009 [8]MF, MAP, UtA PI, PlGF, and PAPP-A93%5%
Park et al., 2013 [9]MF, MAP, UtA PI, and PAPP-A91.7%10%
Scazzocchio et al., 2013 [10]MF, MAP, UtA PI, PAPP-A, and free hCG80.8%10%

Preterm birthGreco et al., 2012 [11]MF, CRL, and cervical length54.8%10%

Gestational diabetesMaged et al., 2013 [12]SHBG and CRP74%24%
Nanda et al., 2011 [13]MF, adiponectin, and SHBG74.1%20%

Fetal growth restrictionKaragiannis et al., 2011 [14]MF, NT, PAPP-A, free hCG, MAP, UtA PI, PlGF, PP13, and ADAM1273%10%
Poon et al., 2013 [15]MF, UtA PI, MAP, PAPP-A, and PlGF55.5%10.9%

MF: maternal factors; MAP: mean arterial pressure: UtA PI: uterine artery Doppler pulsatility index; PlGF: placental growth factor; PAPP-A: pregnancy-associated plasma protein A; hCG: beta human chorionic gonadotrophin; CRL: fetal crown-rump length; SHBG: sex hormone binding globulin; CRP: C-reactive protein; NT: fetal nuchal translucency; PP13: placental protein 13; ADAM12: A disintegrin and metalloprotease.