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Hypolumbarlordosis: a predisposing factor for preeclampsia
N Kanayama1, E el Maradny, Y Kajiwara
1Department of Obstetrics and Gynecology, Hamamatsu University School of Medicine, Japan.
European Journal of Obstetrics, Gynecology, and Reproductive Biology
|February 3, 1998
Summary
Reduced lumbar lordosis (LLD) is linked to preeclampsia. This finding suggests hypolumbarlordosis may predispose women to preeclampsia and is associated with increased vascular resistance.
Area of Science:
- Obstetrics and Gynecology
- Biomedical Engineering
- Clinical Medicine
Background:
- Preeclampsia is a serious pregnancy complication.
- Lumbar lordosis is the inward curvature of the lumbar spine.
- The relationship between spinal curvature and preeclampsia is not well understood.
Purpose of the Study:
- To investigate the association between lumbar lordotic deviation (LLD) and preeclampsia.
- To explore the correlation between LLD, the roll-over test, and vascular resistance in pregnant women.
Main Methods:
- Lumbar lordotic deviation (LLD) was measured in 52 women with pregnancy-induced hypertension and 59 normal pregnant women.
- Measurements were taken in both lateral recumbent and standing positions.
- Roll-over test and internal iliac artery resistance index (RI) via Doppler sonography were performed.
Main Results:
- Patients with preeclampsia exhibited significantly lower LLD compared to normal pregnant women.
- A significant correlation was found between LLD and increased diastolic pressure post roll-over test.
- Hypolumbarlordosis was frequently associated with high peripheral vascular resistance.
Conclusions:
- Hypolumbarlordosis is frequently associated with preeclampsia.
- Reduced lumbar lordosis is linked to the mechanisms of a positive roll-over test and increased vascular resistance.
- Hypolumbarlordosis may serve as a predisposing factor for preeclampsia.
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