medigraphic.com
SPANISH

Revista Cubana de Obstetricia y Ginecología

ISSN 1561-3062 (Electronic)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2018, Number 2

<< Back Next >>

Revista Cubana de Obstetricia y Ginecología 2018; 44 (2)

Uric acid as a predictor of preeclampsia

Álvarez PVA, Rodríguez BM, Pardo MJM, Rodríguez LA
Full text How to cite this article

Language: Spanish
References: 15
Page: 1-10
PDF size: 265.08 Kb.


Key words:

preeclampsia, hyperuricemia, obesity, underweight, puerperal sepsis.

ABSTRACT

Introduction: Hyperuricemia is a factor related to higher frequency of maternal complications in patients with preeclampsia. This metabolite decreases the production of nitric oxide at trophoblast level and it interferes with the normal trophoblastic invasion, thus compromises the transport of oxygen and nutrients to the placenta, displaying the accompanying poor perinatal outcomes.
Objective: To analyze the relationship between hyperuricemia and preeclampsia.
Method: A descriptive, retrospective, cross-sectional study was carried out in 140 puerperal women at Guanabacoa Gynecobstetric Teaching Hospital, Havana, Cuba from January 2014 to January 2016. They showed high levels of uric acid in blood, with hypertensive disorders (preeclampsia). Serum values of uric acid (5.8 mg / dL or 327 μmol /L), were measured and processed in the clinical laboratory.
Result: Preeclampsia was more frequent in postpartum women with hyperuricemia (65 patients, 76.4%), the majority of the patients were obese (63%). Low birth weight resulted in the most frequent neonatal morbidity (73%) and puerperal sepsis in mother (60%).
Conclusion: Hyperuricemia was a predictor of maternal and perinatal complications in the puerperal women who had preeclampsia.


REFERENCES

  1. Burton GJ, Woods AW, Jauniaux E, Kingdom JC. Rheological and physiological consequences of conversión of the maternal spiral arteries for uteroplacental blood flow during human pregnancy. Placentajournal.org [Internet]. 2009[citado 10 mayo 2017];30(6):[aprox 9 p.]. Disponible en: https://www.placentajournal.org/article/S0143-4004(09)00066-6/fulltext

  2. Ministerio de Salud Pública. Anuario estadístico de Cuba [Internet] 2016 [citado 12 abril 2017]: [aprox 6 p.].Disponible en: http://files.sld.cu/dne/files/2017/05/Anuario_Estad%C3%ADstico_de_Salud_e_2016_e dici%C3%B3n_2017.pdf

  3. Koopmans CM, Van Pampus MG, Groen H, Aarnoudse JG, Van den Berg PP, Mol BW. Accuracy of serum uric acid as a predictive test for maternal complications in preeclampsia: bivariate meta-analysis and decision analysis. Eur J Obstet Gynecol Reprod Biol [Internet]. 2009[citado 10 mayo 2017];146(1):[aprox 6 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/19540647

  4. Hawkins TL, Roberts JM, Mangos GJ, Davis GK, Roberts LM, Brown MA. Plasma uric acid remains a marker of poor outcome in hypertensive pregnancy: a retrospective cohort study. BJOG [Internet]. 2012[citado 10 mayo 2017];119:[aprox. 4p.].Disponible en : https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/j.1471-0528.2011.03232.x

  5. LLanes S, Parra M, Serra R, Pino K, Figueroa DH, Romero C, et al. Increased free fetal DNA levels in early pregnancy plasma of women who subsequently develop preeclampsia and intrauterine growth restriction. Prenat Diagn [Internet]. 2009[citado 10 mayo 2017];29(12):[aprox 3 p.] Disponible en: http://repositorio.uchile.cl/bitstream /handle/2250/124272/Illanes_S.pdf?sequence=1&isAllowed=y

  6. Sifakis S, Zaravinos A, Maiz N, Spandidos DA, Nicolaides KH. First-trimester maternal plasma cell-free fetal DNA and preeclampsia. Am J Obstet Gynecol [Internet] 2009[citado 10 mayo 2017]; 19 (5):472-7. Disponible en : https://www.ncbi.nlm.nih.gov/pubmed/19631923

  7. Torres SY, Lardoeyt FR, Lardoeyt FM. Caracterización de los factores de riesgo en gestantes con hipertensión gestacional crónica en un área de salud. Rev Cubana Med Gen Integr [Internet]. 2009 [citado 10 mayo 2017]; 25(2): [aprox. 9 p]. Disponible en: http://www.bvs.sld.cu/revistas/mgi/vol25_2_09/mgi04209.htm

  8. Reyes BES, Vilallonga RP, Reyes BN, Viñas SL. Enfermedad vascular Hipertensiva en Nuevitas durante un quinquenio. Rev. Arch Médic Camagüey [Internet]. 2006[citado 10 mayo 2017];10(1):[aprox. 6 p]. Disponible en: https://www.scielo.sld.cu/ scielo.php?script=sci_arttext&pid=S1025-02552006000100009

  9. Perac MTS, Bannwart CF, Cristofalo R, Vera T, Medeiros BRA, Arau JC, et al. Increased Reactive Oxygen Species and Tumour Necrosis Factor-Alpha Production by Monocytes are Associated with Elevated Levels of Uric Acid in Pre-Eclamptic Women. [Internet] 2012[Citado 3 Mayo 2017];[aprox. 6 p]. Disponible en: http://web.a.ebscohost.com/ehost/pdfviewer/pdfviewer?sid=ed37d28f-1583-4a26b94b-134e83a92c55%40sessionmgr4006&vid=0&hid=4206

  10. Martin AC, Brown MA. Could uric acid have a pathogenic role in pre-eclampsia? Nat Rev Nephrol [Internet]. 2010[Citado 3 Mayo 2017];6(12):[aprox. 4 p]. Disponible en: http://web.a.ebscohost.com/ehost/resultsadvanced?sid=e338926e-5978-4341-80507a724fc11a7a%40sessionmgr4009&vid=4&hid=4206&bquery=Uric+Acid+AND+PreEcla mpsia&bdata=JmRiPW1kYyZsYW5nPWVzJnR5cGU9MSZzaXRlPWVob3N0LWxpdmU%3d

  11. Watanabe K, Mori T, Iwasaki A, Kimura C, Matsushita H, Shinohara K, et al. Increased oxidant generation in the metabolism of hypoxanthine to uric acid and endothelial dysfunction in early-onset and late-onset preeclamptic women. J Matern Fetal Neonatal Med. [Internet] 2012 [Citado 3 Mayo 2017];25(12):[aprox. 4 p]. Disponible en: https://www.tandfonline.com/doi/abs/10.3109/14767058.2012.705396

  12. Pramanik T, Khatiwada B, Pradhan P. Serum uric acid level in normal pregnant and preeclamptic ladies: a comparative study. Nepal Med Coll J [Internet]. 2014[Citado 7 Mayo 2017];16(1):[aprox 6 p.] Disponible en: http://www.nmcth.edu/images/gallery/Original%20Article/3oFPepramanik_t.pdf

  13. Gown V, Al-Zakwani I. Prevalence of cesarean delivery in preeclamptic patients with elevated uric acid. Hypertension in pregnancy[Internet]. 2011[Citado 7 Mayo 2017];29:2[aprox 4 p.] Disponible en: https://www.researchgate.net/profile/Ibrahim_Al-Zakwani/publication/43022491_Prevalence_of_Cesarean_Delivery_in_Preeclamptic_Pati ents_with_Elevated_Uric_Acid/links/00b4951f9b8ba57eb2000000/Prevalence-ofCesarean-Delivery-in-Preeclamptic-Patients-with-Elevated-Uric-Acid.pdf

  14. Observatorio de mortalidad materna en México. Mortalidad materna en México [Internet]. 2010[Citado 7 Mayo 2017]:[aprox. 2 p]. Disponible en: http://www.mmm.org.mx/index.php/numeralia.html

  15. Urato A, Monahan A, Craigo S. Uric acid defines two preeclampsia phenotypes [Internet]. 2011[Citado 7 Mayo 2017];204(1):[aprox. 2 p]. Disponible en: https://www.clinicalkey.es/service/content/pdf/watermarked/1-s2.0S0002937810020211.pdf?locale=es_ES




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Revista Cubana de Obstetricia y Ginecología. 2018;44