Leptin and interferon-gamma as possible predictors of cesarean section among women with hypertensive disorders of pregnancy.

Abstract:

BACKGROUND:This study was designed to evaluate maternal levels of leptin and interferon-gamma (IFN-gamma) in pregnancy complicated with hypertension and to assess the role of cytokines in predicting the risk of cesarean section. MATERIAL/METHODS:This was a cohort study with a prospective follow-up. After proportional sampling procedure, the study included the follow-up of 40 women with hypertensive disorders of pregnancy (pregnancy-induced hypertension [PIH] or preeclampsia [PE]) and 40 uncomplicated pregnancies. Women were followed from the time of admission to the delivery. Levels of leptin and interferon-gamma were measured in serum samples from all women. A p-value <0.05 was considered as significant. RESULTS:Significant increase in IFN-gamma and leptin concentration in women with pre-eclampsia was observed. We found a significant 1.4-fold increase in the risk of birth by cesarean section associated with the increase of the IFN-gamma concentration by 0.1 pg/ml and almost 3-fold increase in the risk associated with the increase of the leptin concentration. CONCLUSIONS:IFN-γ and leptin might be risk markers of cesarean section in hypertension disorders of pregnancy, but further studies supporting this evidence are needed.

journal_name

Med Sci Monit

authors

Rytlewski K,Huras H,Kuśmierska-Urban K,Gałaś A,Reroń A

doi

10.12659/msm.883271

subject

Has Abstract

pub_date

2012-08-01 00:00:00

pages

CR506-511

issue

8

eissn

1234-1010

issn

1643-3750

pii

883271

journal_volume

18

pub_type

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