Diagnostic Accuracy of the Roll Over Test (ROT) and Mean Arterial Pressure (MAP) for Early Detection of Preeclampsia in Pregnant Women

Pusparini Dwi Arisanti; Lumastari Ajeng; Rahajeng Siti Nur Rahmawati; Koekoeh Hardjito

doi:10.30994/jnp.v9i3.1005

Authors

Pusparini Dwi Arisanti Poltekkes Kemenkes Malang https://orcid.org/0009-0000-6659-5113
Lumastari Ajeng Politeknik Kesehatan Kemenkes Malang https://orcid.org/0009-0000-6659-5113
Rahajeng Siti Nur Rahmawati Politeknik Kesehatan Kemenkes Malang https://orcid.org/0000-0002-8766-463X
Koekoeh Hardjito Politeknik Kesehatan Kemenkes Malang https://orcid.org/0000-0002-3038-9489

DOI:

https://doi.org/10.30994/jnp.v9i3.1005

Keywords:

mean arterial pressure (map), preeclampsia, roll over test (rot)

Abstract

Background: Preeclampsia remains a leading cause of maternal mortality. Early identification of pregnant women at risk is essential to prevent severe maternal and fetal complications. While Mean Arterial Pressure (MAP) and the Roll Over Test (ROT) are used for early detection, there is a need to compare their diagnostic performance in low-resource clinical settings to optimize screening protocols.

Purpose: This study aimed to determine the sensitivity and specificity of ROT and MAP in screening for preeclampsia among pregnant women.

Methods: This diagnostic observational study used a prospective approach involving 46 pregnant women (gestational age >30 weeks at the Puhjarak Community Health Center, Kediri District. Participants were selected using simple random sampling from a population of 52 eligible pregnant women. Screening was conducted using MAP and ROT, and the occurrence of preeclampsia was evaluated at ≥36 weeks of gestation based on clinical diagnosis. Data were analyzed to calculate sensitivity, specificity, and predictive values.

Results: The prevalence of preeclampsia in this study was 17.3%. Both MAP and ROT showed a sensitivity of 75%. However, ROT showed higher specificity (94%) compared to MAP (63%). The PPV for ROT (75%) was also higher than for MAP (30%),

Conclusion: There The findings suggest that the ROT may have higher specificity than MAP in screening for preeclampsia. However, further studies with larger samples are needed to confirm these findings.

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References

Alatas, H. (2019). Hipertensi pada Kehamilan. Herb-Medicine Journal, 2(2), 27. https://doi.org/10.30595/hmj.v2i2.4169.

Beech, A., & Mangos, G. (2021). Management of Hypertension in Pregnancy. Asutralian Publicher, 44(5), 148–152. https://doi.org/DOI: 10.18773/austprescr.2021.040.

Karlina, I., Aliansy, D., & Yunengsih, Y. (2023). Metode Screening Preeklampsia Menggunakan MAP dan ROT Pada Ibu Hamil Trimester III. 16(2).

Kurniawati, D., Septiyono, E., & Sari, R. (2020). Preeklamsia dan Perawatannya. CV KHD Production.

Laksono, S., & Masrie, M. S. (2022). Hipertensi Dalam Kehamilan: Tinjauan Narasi. Herb-Medicine Journal, 5(2), 27. https://doi.org/10.30595/hmj.v5i2.13043.

Lalenoh, D. (2018). Preeklampsia Berat dan Eklampsia: Tatalaksana Anestesia Perioperatif. CV Budi Utama.

McKay, K. M., Lim, L. L., & Van Gelder, R. N. (2021). Rational laboratory testing in uveitis: A Bayesian analysis. Survey of Ophthalmology, 66(5), 802–825. https://doi.org/10.1016/j.survophthal.2021.02.002.

Primayanti, I., Danianto, A., Jumsa, R., Geriputri, N., & Yuni, M. (2022). Gambaran Epidemiologi Faktor Risiko Preeklamsia Pada Ibu Hamil.

Profil Kesehatan Indonesia. (2023). Kementerian Kesehatan Republik Indonesia.

Profil Kesehatan Jawa Timur. (2023). Dinas Kesehatan Provinsi Jawa Timur.

Profil Kesehatan Kabupaten Kediri. (2023). Dinas Kesehatan Provinsi Kabupaten Kediri.

Sulastri, S., Destiyani, A. D., & Diniyah, U. M. (2023). Skrining Pre Eklampsia Pada Ibu Hamil Menggunakan Mean Arterial Pressure. Jurnal Kesehatan. https://doi.org/10.23917/jk.v16i2.2004.

Susanti, A. J., Yani, E. R., & Yudianti, I. (2022). Preeclampsia Screening with Mean Arterial Pressure (MAP). Jurnal Kebidanan Midwiferia, 8(1), 82–90. https://doi.org/10.21070/midwiferia.v8i1.1634.

Tampubolon, D. P. R., Herawati, L., & Ernawati, E. (2021). Peran MAP, ROT, IMT Dalam Skrining Preeklampsia di Indonesia. Indonesian Midwifery and Health Sciences Journal, 3(4), 331–340. https://doi.org/10.20473/imhsj.v3i4.2019.331-340.

Torres-Coronado, J., Loo-Valverde, M., De La Cruz-Vargas, J. A., Pérez, M. A., & Smith, J. (2022). Roll-Over Test as PredictiveValue of Pre-eclampsia. Salud Uninorte, 37(02), 345–357. https://doi.org/10.14482/sun.37.2.618.361.

Waks, A., Milone, G. F., & Oakes, M. C. (2024). 674 Mean arterial pressure as an early predictor of preeclampsia: A retrospective cohort study. American Journal of Obstetrics and Gynecology, 230(1), S362. https://doi.org/10.1016/j.ajog.2023.11.700.

Walia, M., D’souza, A., & Gupta, G. (2015). Comparison between roll-over test and placental localization for early prediction of preeclampsia. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 1710–1713. https://doi.org/10.18203/2320-1770.ijrcog20150784.