Amniotic Fluid and Maternal Lipid Profiles and Pregnancy Outcomes: Is There any Relationship?
نویسندگان
1 Maternal-Fetal and Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran
2 Maternal-Fetal and Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran
3 Maternal-Fetal and Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran
4 Growth and Development Research Center, Children Medical Center of Excellence, Tehran University of Medical Sciences, Tehran, Iran
doi
10.30699/jogcr.4.1.24چکیده
Background & Objective: This prospective study aimed to determine the relationship between maternal and amniotic fluid (AF) lipid profiles in the second trimester with pregnancy outcomes. Materials & Methods: One hundred-eighty singleton pregnant women, with a gestational age of 16-22 weeks, were enrolled in this study. All women underwent amniocentesis, and 2 mL of AF was investigated for AF lipid profile. Furthermore, the serum maternal lipid profile was evaluated simultaneously. All participants were followed up until the delivery, and postnatal outcomes were recorded. Results: Mean maternal age and body mass index (BMI) of all participants were 5.8±33 years and 25.6±2.8 kg/m2, respectively. Mean maternal estriol, cholesterol, and triglyceride levels, as well as mean cholesterol and triglyceride levels of AF, were significantly different between term and preterm; intrauterine growth retardation (IUGR) and non-intrauterine growth retardation (non-IUGR); and low birth weight and normal weight neonates (P < /em><0.001). The AF cholesterol level was an independent predictor of term or preterm delivery, while the maternal estriol level was an independent predictor of IUGR or normal growth. Conclusion: Maternal and amniotic fluid lipid profiles could be good indicatives of fetus growth.