دورية أكاديمية

Relationship of serum uric acid, serum creatinine and serum cystatin C with maternal and fetal outcomes in rural Indian pregnant women.

التفاصيل البيبلوغرافية
العنوان: Relationship of serum uric acid, serum creatinine and serum cystatin C with maternal and fetal outcomes in rural Indian pregnant women.
المؤلفون: Yalamati P; Department of Biochemistry, SHARE INDIA, Mediciti Institute of Medical Sciences, Ghanpur, Medchal Mandal, R. R. District, Telangana, Hyderabad, India., Bhongir AV; Department of Biochemistry, SHARE INDIA, Mediciti Institute of Medical Sciences, Ghanpur, Medchal Mandal, R. R. District, Telangana, Hyderabad, India., Betha K; Department of Obstetrics & Gynaecology, SHARE INDIA, Mediciti Institute of Medical Sciences, Ghanpur, Medchal Mandal, R. R. District, Telangana, Hyderabad, India., Verma R; Department of Biochemistry, SHARE INDIA, Mediciti Institute of Medical Sciences, Ghanpur, Medchal Mandal, R. R. District, Telangana, Hyderabad, India., Dandge S; Department of Pharmacology, SHARE INDIA, Mediciti Institute of Medical Sciences, Ghanpur, Medchal Mandal, R. R. District, Telangana, Hyderabad, India.
المصدر: International journal of reproduction, contraception, obstetrics and gynecology [Int J Reprod Contracept Obstet Gynecol] 2015 Sep-Oct; Vol. 4 (5), pp. 1505-1510.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: International Journal of Reproduction, Contraception, Obstetrics and Gynecology] Country of Publication: India NLM ID: 101629365 Publication Model: Print Cited Medium: Print ISSN: 2320-1770 (Print) Linking ISSN: 23201770 NLM ISO Abbreviation: Int J Reprod Contracept Obstet Gynecol Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Ahmedabad : International Journal of Reproduction, Contraception, Obstetrics and Gynecology]
مستخلص: Background: Hypertensive disorders are the most common in pregnancy. Several studies showed a positive correlation between elevated maternal serum uric acid (UA), serum creatinine and adverse maternal and fetal outcomes, but only a few studies are available on serum cystatin C and maternal and fetal outcomes. The present study was undertaken to study the association of serum UA, creatinine and cystatin C with maternal and fetal outcomes.
Methods: Out of 116 pregnant women 69 women had no hypertension and 47 had hypertension with or without proteinuria. Serum UA, creatinine and cystatin C was measured by modified Uricase method, modified kinetic Jaffe's reaction and particle-enhanced immunonephelometric assay respectively. Multivariate logistic regression was performed to determine the independent effects of serum UA, creatinine and cystatin C on maternal and fetal outcomes using stata 13.1.
Results: The adjusted odds ratio (OR) was 3.73 (95% CI: 1.18-11.75; P=0.024) for UA; 15.79 (95% CI: 3.04-81.94; P=0.001) for creatinine and 2.03 (95% CI: 0.70-5.87; P=0.192) for cystatin C in hypertensive disorders of pregnancy. All the three renal parameters were not significantly associated with birth weight, gestational age of delivery and mode of delivery after adjusting for the confounding factors.
Conclusions: Serum creatinine and uric acid are independent risk factors for hypertensive disorders of pregnancy. High serum uric acid is associated with low birth weight and delivery by caesarian section whereas high serum creatinine with preterm delivery only before adjustment for confounding factors and not after adjustment. Serum cystatin C was not significantly associated with the maternal and fetal outcomes.
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معلومات مُعتمدة: D43 TW009078 United States TW FIC NIH HHS
فهرسة مساهمة: Keywords: Birth weight; Caesarian section; Creatinine; Cystatin C; Gestational Hypertension; Gestational age; Logistic regression; Preeclampsia; Uric acid
تواريخ الأحداث: Date Created: 20151120 Latest Revision: 20240324
رمز التحديث: 20240324
مُعرف محوري في PubMed: PMC4646224
DOI: 10.18203/2320-1770.ijrcog20150737
PMID: 26583159
قاعدة البيانات: MEDLINE
الوصف
تدمد:2320-1770
DOI:10.18203/2320-1770.ijrcog20150737