A Comparative Study of High Sensitive C-Reactive Protein (hs-CRP) and Urinary Calcium/Creatinine Ratio in Normal Pregnancy and Pregnancy Induced Hypertension in Gujarat, India

2018 ◽  
Vol 22 (3) ◽  
pp. 1-8 ◽  
Author(s):  
Smita Vasava ◽  
Amitkumar Maheshwari ◽  
Subhankar Kayal ◽  
Jagruti Dholakiya ◽  
Kedar Mehta ◽  
...  
Keyword(s):  
Comparative Study ◽  
Normal Pregnancy ◽  
Urinary Calcium ◽  
Pregnancy Induced Hypertension ◽  
Creatinine Ratio ◽  
C Reactive Protein ◽  
Reactive Protein ◽  
Induced Hypertension ◽  
Hs Crp

scholarly journals Fibronectin and C-reactive protein in pregnancy induced hypertension

2003 ◽  
Vol 22 (4) ◽  
pp. 325-328
Author(s):  
Svetlana Djuricic ◽  
Marina Stojanov ◽  
Ivana Obradovic ◽  
Aleksandar Glisic ◽  
Darko Plecas
Keyword(s):  
Normal Pregnancy ◽  
Medical Complication ◽  
Pregnancy Induced Hypertension ◽  
Plasma Fibronectin ◽  
C Reactive Protein ◽  
Reactive Protein ◽  
Nephelometric Method ◽  
Induced Hypertension ◽  
The One ◽  
In Pregnancy

Hypertension is the most common medical complication in pregnancy. Of the varying forms of hypertension that can effect pregnancy pre-eclampsia is the one specific to pregnant women. The differential diagnosis between pre-eclampsia and pregnancy induced hypertension (PIH) is essential to proper management of pregnancy. The aim of this study was to examine the effect of hypertension on plasma fibronectin and C-reactive protein (CRP) during gestatation. The examined groups comprised 37 patients with normal pregnancy and 30 with PIH between 24 and 36 weeks of gestation. Plasma fibronectin and CRP were both assayed by nephelometric method. The obtained results for both examined parameters were significantly higher in PIH group than in controls (p < 0.05). A positive correlation was found between fibronectin, CRP and weeks of gestation (p < 0.05). Therefore, we can conclude that plasmatic fibronectin and CRP are among useful screening parameters for estimation of the endothelial injury in hypertensive disorders of pregnancy.

Serum Uric Acid Level as a Predictive Biomarker of Gestational Hypertension Severity; A Prospective Observational Case-Control Study

2020 ◽  
Vol 15 (3) ◽  
pp. 227-239 ◽  
Author(s):  
Hader I. Sakr ◽  
Akef A. Khowailed ◽  
Reham S. Al-Fakharany ◽  
Dina S. Abdel-Fattah ◽  
Ahmed A. Taha
Keyword(s):  
Blood Pressure ◽  
Pregnant Women ◽  
Case Control Study ◽  
Serum Urate ◽  
Interleukin 1Β ◽  
Pregnancy Induced Hypertension ◽  
C Reactive Protein ◽  
Reactive Protein ◽  
Induced Hypertension ◽  
Control Study

Background: Pre-eclampsia poses a significant potential risk of hypertensive disorders during pregnancy, a leading cause of maternal deaths. Hyperuricemia is associated with adverse effects on endothelial function, normal cellular metabolism, and platelet aggregation and adhesion. This study was designed to compare serum urate levels in normotensive pregnant women to those with pregnancy-induced hypertension, and to evaluate its value as a potential predictive marker of hypertension severity during pregnancy. Methods: A prospective, observational, case-control study conducted on 100 pregnant women in their third trimester. Pregnant women were classified into two groups (n=50) according to arterial blood pressure measurements: group I had normal blood pressure, and group II had a blood pressure of ≥ 140/90, which was further subdivided according to hypertension severity into IIa (pregnancy- induced hypertension, IIb (mild pre-eclampsia), and IIc (severe pre-eclampsia). Blood samples were obtained on admission. Serum urate, high sensitive C-reactive protein, and interleukin-1β levels, and lipid profile were compared among the groups. Results: A significant increase in the mean values of serum urate, C-reactive protein, and interleukin- 1β levels was detected in gestational hypertensives. In addition, there was a positive correlation between serum urate levels and C-reactive protein and interleukin-1β, as well as between serum urate levels and hypertension severity. Conclusion: Hyperuricemia and increased C-reactive protein and interleukin-1β serum levels correlate with the severity of pregnancy-induced hypertension, and these biomarkers may play a role in the pathogenesis of pre-eclampsia. Serum urate measurement is sensitive, reliable markers that correlate well with the severity of hypertension in pregnant females with pre-eclampsia.

scholarly journals A comparative study of serum calcium, magnesium and LDH as the best predictor for severity of pregnancy induced hypertension in the rural population

2017 ◽  
Vol 6 (10) ◽  
pp. 4652
Author(s):  
Mehul Salve ◽  
Aditi Rajgire
Keyword(s):  
Comparative Study ◽  
Serum Calcium ◽  
Magnesium Deficiency ◽  
Serum Magnesium ◽  
Serum Levels ◽  
Normal Pregnancy ◽  
Pregnancy Induced Hypertension ◽  
Induced Hypertension ◽  
Calcium And Magnesium ◽  
In Pregnancy

Background: Hypertensive disorders of pregnancy are one of the commonly encountered problem by obstetrician of which, pregnancy induced hypertension leads the list. A number of dietary deficiencies or excesses have been blamed as the cause for preeclampsia over centuries. Studies have shown relationship between dietary deficiencies and incidence of preeclampsia. The lowering of serum calcium and the increase of intracellular calcium can cause an elevation of blood pressure in preeclamptic mothers. Recent investigations suggest that magnesium deficiency could play an important role in the pathogenesis of preeclampsia, particularly in regulating the tonus of arterioles and veins. The relationship of serum leptin and lactate dehydrogenase levels were increased in preeclampsia.Methods: A comparative study to evaluate the levels of serum calcium and serum magnesium and LDH in pregnancy induced hypertension and normal pregnancy and to correlate the serum levels of calcium and magnesium and LDH with the pregnancy induced hypertension.Results: The serum calcium and magnesium has significantly decreased in cases as compared to controls. Whereas the levels of LDH was significantly increased in cases compared to controls. Serum calcium decreased in severe PIH cases compared to mild PIH cases but statistically not significant. Serum magnesium in mild PIH is less compared to severe PIH cases. The decrease is not statistically significant. The increase in LDH in mild case is less compared to severe PIH case. The increase is stastically significant.Conclusion: Routine biochemical evaluation of serum concentration of calcium and magnesium early in pregnancy may be helpful in identifying at risk patients for preeclampsia. Hypocalcemia and Hypomagnesemia in patients with pregnancy induced hypertension may have a cause and effect relationship with the disorder. Amongst the biochemical markers studied LDH level was seen as the best predictor of severity of pregnancy induced hypertension.

scholarly journals C - reactive protein levels in women with pregnancy induced hypertension

1970 ◽  
Vol 10 (3) ◽  
pp. 159-162 ◽  
Author(s):  
TK Ghosh ◽  
S Ghosh ◽  
D Bhattacharjee
Keyword(s):  
Normal Control ◽  
Hematological Parameter ◽  
Adult Women ◽  
Pregnancy Induced Hypertension ◽  
C Reactive Protein ◽  
Medical College ◽  
Protein Levels ◽  
Reactive Protein ◽  
Induced Hypertension ◽  
Pregnant Mothers

Objective: The main objective of this study is to determine the level of C- reactive protein in pregnancy induced hypertension (PIH) along its relation with normal pregnant mothers and also to compare it with different grades of pregnancy. C-reactive protein and inflammation are interrelated. Another objective of this study is to find out the relationship of C- reactive protein, biochemical and hematological parameter in PIH as well as its clinical correlation. Materials and Methods: The study was conducted in the department of Gynaecology and department of Pathology in Burdwan Medical College West Bengal India after taking permission from ethical committee. 50 cases of PIH mothers and age and gestational matched 50 cases of normal control pregnant mothers and 50 normal healthy non pregnant adult women were included in this present study. CRP was estimated by turbidometric method. Serum Uric acid, SGPT, Serum Creatinine were estimated by semi auto analyzer, Serum ß HCG was estimated by ELISA technique. The total leukocytes count, absolute Neutrophils count, Platelet counts were done in hematological cell counter with correlation from peripheral direct smear and manual counting. Urine protein was detected by dipstick method. Results: Serum C- reactive protein was positively correlated with severity of in PIH. Results shows a significantly increased C-reactive protein in PIH (Mean SD 42.02 mg/L±18 .01 mg/L, P<0.001) in comparison to normal control mother (Mean SD 4.2 ±0.93 mg/L). Conclusion: Serum C-reactive protein levels can be used as marker for early diagnosis and intervention of PIH and can be reduced maternal as well as fetal morbidity and mortality. Key words: C - reactive protein, pregnancy induced hypertension. DOI: http://dx.doi.org/ 10.3329/bjms.v10i3.8358 BJMS 2011; 10(3): 159-162

scholarly journals PHOSPHOLIPASE A 2 , PLASMA ELASTASE ACTIVITY IN PRE- AND POST-PARTUM OF PRE-ECLAMPTIC WOMEN

2016 ◽  
Vol 10 (1) ◽  
pp. 317
Author(s):  
Dayanand C D ◽  
Vanishree Bambrana ◽  
Sheela Sr
Keyword(s):  
Phospholipase A2 ◽  
Inflammatory Marker ◽  
Post Partum ◽  
Normal Pregnancy ◽  
Phospholipase A ◽  
Operating Characteristics ◽  
C Reactive Protein ◽  
Reactive Protein ◽  
Group 2 ◽  
Hs Crp

ABSTRACTObjective: The objectives of the present study were to evaluate the activity of phospholipase A2, plasma elastase enzymes and to assess relation withan inflammatory marker high sensitive C-reactive protein (hs-CRP) in nonpregnant before and after delivery of normotensive pregnant and preeclampticwomen.Methods: The study population consists of three groups: Nonpregnant (Group 1, n=57), normotensive pregnant (Group 2, n=57), and pre-eclampticwomen (Group 3, n=57). Groups 2 and 3 were followed after delivery within 48 hrs. Phospholipase A, plasma elastase, and hs-CRP levels weredetermined spectrophotometrically.Results: The plasma elastase, phospholipase A22 activity, and hs-CRP were elevated in pre-eclampsia significantly (p<0.05), nonsignificant rise innormotensive pregnant before delivery condition compared to nonpregnant women. However, plasma elastase in normal pregnancy and pre-eclampsiawere decreased by 1.2- and 2.07-fold, respectively, after delivery. Whereas phospholipase A and hs-CRP found to be nonsignificantly decreased in thepostdelivery status of the both the groups. Receiver operating characteristics curve analysis showed that elastase enzyme has diagnostic importanceto assess inflammation on the basis of area under curve (0.758).2Conclusion: Our research findings generated knowledge about raised level of plasma elastase enzyme by neutrophil degranulation representsinflammation in pre-eclampsia. Elevated elastase, phospholipase AKeywords: Elastase, High sensitive C - reactive protein, Phospholipase A2 with hs-CRP in pre-eclampsia serves as indicators of inflammation., Pre-eclampsia.

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