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Serum homocysteine in pre-eclampsia and eclampsia
Md Mozammel Hoque1, Tania Bulbul, Monzarin Mahal
1Department of Biochemistry, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka, Bangladesh. m_mhoque@yahoo.com
Elevated homocysteine levels are linked to pre-eclampsia and eclampsia in pregnant women. This study found higher homocysteine in women with pre-eclampsia and even higher levels in those with eclampsia.
Area of Science:
- Obstetrics and Gynecology
- Clinical Chemistry
- Maternal-Fetal Medicine
Background:
- Pre-eclampsia and eclampsia are significant causes of adverse pregnancy outcomes.
- Hyperhomocysteinemia is increasingly recognized as a potential contributing factor to these conditions.
Purpose of the Study:
- To investigate the association between serum homocysteine levels and the incidence of pre-eclampsia and eclampsia.
- To provide insights for potential prevention strategies for these pregnancy complications.
Main Methods:
- A case-control study was conducted.
- Serum homocysteine levels were measured in three groups: healthy pregnant controls, pre-eclamptic women, and eclamptic women.
Main Results:
- Serum homocysteine levels were significantly elevated in both pre-eclamptic (9.54 ± 3.21 µmol/L) and eclamptic (10.57 ± 3.39 µmol/L) women compared to healthy controls (6.86 ± 2.47 µmol/L) (p < 0.001).
- Homocysteine levels were significantly higher in women with eclampsia than in those with pre-eclampsia (p < 0.03).
Conclusions:
- Hyperhomocysteinemia is strongly associated with both pre-eclampsia and eclampsia.
- The elevation in homocysteine is more pronounced in eclampsia, suggesting a potential link to disease severity.
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