Volume : 7, Issue : 6, June - 2018

ESTIMATION OF ROLE OF SERUM HOMOCYSTEINE AND SERUM FOLATE IN PREECLAMPTIC WOMEN AT TERM PREGNANCY

Dr. Mohini Paul, Dr. Annu Dabla

Abstract :

<p class="MsoNormal"><span style="font-size:12.0pt;line-height:115%;mso-ascii-font-family:&#10;&quot;Times New Roman&quot;;mso-hansi-font-family:&quot;Times New Roman&quot;;mso-bidi-font-family:&#10;&quot;Times New Roman&quot;;mso-ansi-language:EN-US">Elevated plasma homocysteine and decreased serum folate level<span style="mso-spacerun:yes">&nbsp; </span>has been implicated in vascular changes and endothelial dysfunction caused by <span style="mso-spacerun:yes">&nbsp;</span>lipid peroxidation and formation of free radicles similar to those seen <span style="mso-spacerun:yes">&nbsp;</span>in preeclampsia. The<span style="mso-spacerun:yes">&nbsp; </span>aim of this study was to determine the levels of serum homocysteine in preeclamptic patients at term, to determine the levels of serum folate<span style="mso-spacerun:yes">&nbsp; </span>in preeclamptic patients at<span style="mso-spacerun:yes">&nbsp; </span>term and to study correlation between<span style="mso-spacerun:yes">&nbsp; </span>serum folate levels and serum homocysteine<span style="mso-spacerun:yes">&nbsp; </span>in preeclamptic patients at term.<o:p></o:p></span></p> <p class="MsoNormal"><b><span style="font-size:12.0pt;line-height:115%;&#10;mso-ascii-font-family:&quot;Times New Roman&quot;;mso-hansi-font-family:&quot;Times New Roman&quot;;&#10;mso-bidi-font-family:&quot;Times New Roman&quot;;mso-ansi-language:EN-US">Study design</span></b><span style="font-size:12.0pt;line-height:115%;mso-ascii-font-family:&quot;Times New Roman&quot;;&#10;mso-hansi-font-family:&quot;Times New Roman&quot;;mso-bidi-font-family:&quot;Times New Roman&quot;;&#10;mso-ansi-language:EN-US"> Prospective case control study of 50 preeclamptic patients that were age, parity and BMI matched with 50 controls of same gestational age. The preeclamptics were further divided into mild , 38 and severe preeclampsia ,12.<o:p></o:p></span></p> <p class="MsoNormal"><b><span style="font-size:12.0pt;line-height:115%;&#10;mso-ascii-font-family:&quot;Times New Roman&quot;;mso-hansi-font-family:&quot;Times New Roman&quot;;&#10;mso-bidi-font-family:&quot;Times New Roman&quot;;mso-ansi-language:EN-US">Results</span></b><span style="font-size:12.0pt;line-height:115%;mso-ascii-font-family:&quot;Times New Roman&quot;;&#10;mso-hansi-font-family:&quot;Times New Roman&quot;;mso-bidi-font-family:&quot;Times New Roman&quot;;&#10;mso-ansi-language:EN-US"> Mean levels of serum<span style="mso-spacerun:yes">&nbsp; </span>homocysteine were significantly elevated in the preeclamptic than in control group (</span><span lang="EN-IN" style="font-size:12.0pt;line-height:&#10;115%;mso-ascii-font-family:&quot;Times New Roman&quot;;mso-hansi-font-family:&quot;Times New Roman&quot;;&#10;mso-bidi-font-family:&quot;Times New Roman&quot;">9.45&plusmn;2.68&micro;mol/l v/s 4.99 &plusmn; 0.96&micro;mol/l respectively</span><span style="font-size:12.0pt;line-height:115%;mso-ascii-font-family:&#10;&quot;Times New Roman&quot;;mso-hansi-font-family:&quot;Times New Roman&quot;;mso-bidi-font-family:&#10;&quot;Times New Roman&quot;;mso-ansi-language:EN-US">).<span style="mso-spacerun:yes">&nbsp; </span>Mean levels of serum folate<span style="mso-spacerun:yes">&nbsp; </span>were significantly reduced in the preeclamptic patients (</span><span lang="EN-IN" style="font-size:12.0pt;line-height:115%;mso-ascii-font-family:&quot;Times New Roman&quot;;&#10;mso-hansi-font-family:&quot;Times New Roman&quot;;mso-bidi-font-family:&quot;Times New Roman&quot;">9.28 &plusmn; 1.96ng/ml v/s 15.48 &plusmn; 2.47ng/ml</span><span style="font-size:12.0pt;&#10;line-height:115%;mso-ascii-font-family:&quot;Times New Roman&quot;;mso-hansi-font-family:&#10;&quot;Times New Roman&quot;;mso-bidi-font-family:&quot;Times New Roman&quot;;mso-ansi-language:&#10;EN-US">). An inverse but statistically insignificant relation appeared between low <span style="mso-spacerun:yes">&nbsp;</span>serum folate and elevated serum homocysteine levels in the preeclamptic patients.<o:p></o:p></span></p> <p class="MsoNormal"><b><span style="font-size:12.0pt;line-height:115%;&#10;mso-ascii-font-family:&quot;Times New Roman&quot;;mso-hansi-font-family:&quot;Times New Roman&quot;;&#10;mso-bidi-font-family:&quot;Times New Roman&quot;;mso-ansi-language:EN-US">Conclusion </span></b><span style="font-size:12.0pt;line-height:115%;mso-ascii-font-family:&quot;Times New Roman&quot;;&#10;mso-hansi-font-family:&quot;Times New Roman&quot;;mso-bidi-font-family:&quot;Times New Roman&quot;;&#10;mso-ansi-language:EN-US">From the present study it was concluded that<span style="mso-spacerun:yes">&nbsp; </span>serumhomocysteine levels were significantly elevated in patients with preeclampsia and serum folate levels were significantlydecreased when compared to control group. An inverse correlation was seen between serum folate levels and serum homocysteine levels in preeclamptic patients.<i><o:p></o:p></i></span></p>

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Cite This Article:

DR. MOHINI PAUL, DR. ANNU DABLA, ESTIMATION OF ROLE OF SERUM HOMOCYSTEINE AND SERUM FOLATE IN PREECLAMPTIC WOMEN AT TERM PREGNANCY, GLOBAL JOURNAL FOR RESEARCH ANALYSIS : Volume-7 | Issue-6 | June-2018


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