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Maternal and Umbilical Cord Ischemia Modified Albumin Levels in Nonreassuring Fetal Heart Rate Tracings Regarding The Mode of Delivery.


J Matern Fetal Neonatal Med. 2012 Oct 31;


Authors: Caglar G, Tasci Y, Goktolga U, Oztas E, Pabuccu R, Ozdemir E, Seker R


Abstract

Abstract Objective: To evaluate umbilical cord blood ischemia-modified albumin (IMA) levels in cases of fetal distress and to explore fetal blood IMA levels regarding the route of delivery. Methods: Umbilical cord and maternal serum IMA concentrations were assessed in term 40 cases with cesarean section (CS) due to fetal distress (FD), 76 cases with elective repeat CS and 85 cases with noncomplicated vaginal delivery. Results: The maternal and umbilical cord IMA levels were significantly lower in vaginal deliveries when compared with CS cases either in FD or previous CS groups (p=0.02). Although no statistically significant difference was found in IMA levels of CS groups (previous CS vs FD), cord blood IMA levels tend to be higher in FD group. Neither demographic characteristics nor fetal outcome parameters were found to have any correlation with maternal IMA levels. However, umbilical cord IMA levels were found to be negatively correlated with 1th minute Apgar scores (r=-0,143, p=0,043). Conclusions: IMA seems to be responsive to hypoxic fetal distress showing the highest levels in cases with severe fetal hypoxia. Higher levels of IMA in cases with elective repeat CS might indicate acute transient hypoxia and possible myocardial ischemia in these cases.

PMID: 23110622 [PubMed - as supplied by publisher]