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"Physiologic" intracellular acidosis in pregnancy
O Bardicef1, M Bardicef, Y Sorokin
1Department of Internal Medicine, Wayne State University School of Medicine, Detroit, MI 48201, USA.
To investigate acid-base homeostasis in pregnancy, we used phosphorus 31 nuclear magnetic resonance spectroscopy to measure intracellular pH in erythrocytes from nonpregnant (n = 33) and third-trimester pregnant women (n = 22). Intracellular pH was lower in pregnant compared with nonpregnant controls (7.23 +/- 0.015 vs 7.29 +/- 0.012, p = 0.003). We hypothesize that this "physiologic" intracellular acidosis of pregnancy potentiates oxygen-hemoglobin dissociation and oxygen delivery across the placenta.
To investigate acid-base homeostasis in pregnancy, we used phosphorus 31 nuclear magnetic resonance spectroscopy to measure intracellular pH in erythrocytes from nonpregnant (n = 33) and third-trimester pregnant women (n = 22). Intracellular pH was lower in pregnant compared with nonpregnant controls (7.23 +/- 0.015 vs 7.29 +/- 0.012, p = 0.003). We hypothesize that this "physiologic" intracellular acidosis of pregnancy potentiates oxygen-hemoglobin dissociation and oxygen delivery across the placenta.