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Published on: June 28, 2024
Association of Maternal Serum Homocysteine level with Maternal Birth Weight
S S Tithi1, K N Nahar, N Haque
1Dr Shaila Sharmin Tithi, Medical Officer, 250 Bedded General Hospital, Jessore, Bangladesh.
Insights
High maternal homocysteine levels are linked to lower birth weights in newborns. This finding highlights a significant association between maternal serum homocysteine and infant birth weight, impacting infant growth and survival.
Area of Science:
- Obstetrics and Gynaecology
- Maternal-Fetal Medicine
- Nutritional Biochemistry
Background:
- Birth weight is a critical indicator of infant health and survival.
- Low birth weight is associated with increased infant mortality and morbidity.
- Previous research suggests a correlation between elevated maternal homocysteine and reduced offspring birth weight.
Purpose of the Study:
- To investigate the association between maternal serum homocysteine levels and neonatal birth weight.
- To determine if maternal homocysteine is a significant predictor of low birth weight.
Main Methods:
- A cross-sectional study was conducted involving pregnant women in their third trimester (37-40 weeks).
- Maternal serum homocysteine levels and neonatal birth weights were measured immediately after delivery.
- Data collected included maternal demographics, clinical examination, and haematological investigations.
Main Results:
- A significant negative correlation was observed between maternal serum homocysteine levels and neonatal birth weight (r = -0.419, p<0.05).
- Maternal homocysteine and gestational age were significant factors in regression analysis, even after adjusting for maternal age, parity, BMI, and infant sex.
- Increased maternal serum homocysteine was negatively associated with low birth weight babies.
Conclusions:
- Elevated maternal serum homocysteine is significantly associated with lower birth weight in neonates.
- Monitoring maternal homocysteine levels may be important for identifying pregnancies at risk for low birth weight.
- This association underscores the importance of homocysteine in fetal growth and development.
Abstract:
A baby's weight at birth is an important predictor of infant growth and survival. Low birth weight leads to an impaired growth of the infant and its attendant risks of a higher mortality and morbidity. Various studies found higher maternal plasma homocysteine level was associated with lower offspring birth weight. Therefore, this study was carried out to find out association between maternal serum homocysteine and birth weight. A cross sectional study was conducted in the Department of Obstetrics and Gynaecology, BSMMU from September 2018 to August 2019. Pregnant women at their third trimester between 37-40 weeks admitted to in patient Department of Obstetrics and Gynaecology, BSMMU were included in this study. Ethical committee clearance was obtained from the institution. After matching eligibility criteria informed written consent were taken from the patients. Data was collected from the patients using the structured design by interview, observation, clinical examination and haematological investigations. The serum homocysteine level of these patients and birth weight of their babies was measured immediately after delivery. Negative correlation was found between maternal serum homocysteine level and neonatal birth weight, (r = -0.419, p<0.05). During regression analysis maternal homocysteine and gestational age was found significant when adjusted with maternal age, parity, maternal BMI and sex of the baby. So, increased maternal serum homocysteine is negatively associated with low birth weight babies.
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