Correlation between maternal plasma thrombomodulin and infant birth weight in hypertensive disorders of pregnancy.
OBJECTIVE
To evaluate the association between maternal plasma thrombomodulin levels and infant birth weights in pregnancy-induced hypertension.


METHODS
Plasma thrombomodulin levels were measured in 80 pregnant women living in the Trakya region of Turkey. Of these patients, 30 were with severe preeclampsia, 10 with HELLP syndrome, 10 with eclampsia, and 30 were normotensive healthy pregnant women. Plasma thrombomodulin levels were determined by the enzyme-linked immunosorbent assay method. The correlation analysis between thrombomodulin and birth weight and placental weights was done using analysis of variance and Bonferroni test (significance at P < .05). Kruskal-Wallis statistical analysis was performed in comparison of the descriptive and laboratory data (significance at P < .05).


RESULTS
The plasma thrombomodulin values in hypertensive disorders in pregnancy were found to be highly correlated with the infant birth weights (P < .001). In HELLP syndrome, the highest thrombomodulin levels (94.69 + 10.41 ng/mL) were associated with the lowest infant birth weight (1509.70 + 187.55 g) in the study population. Thrombomodulin in eclampsia (81.37 + 3.59 ng/mL) showed an association with infant birth weight (2078 + 132.65 g). Although thrombomodulin levels in severe preeclampsia (67.15 + 3.72 ng/mL) were associated with the values (1748.20 + 132.62 g) in infant birth weight, thrombomodulin levels of the control group demonstrated the mean (48.06 + 2.45) with the highest infant birth weight (3228.85 + 84.83) in the total group.


CONCLUSIONS
Elevated plasma thrombomodulin levels in hypertensive disorders of pregnancy were well correlated with related infant birth weights of these pathologies. Plasma thrombomodulin levels might point out placental vascular endothelial damage reflecting on infant birth weights.
Varol
Füsun G
FG
Departments of Obstetrics and Gynecology, Faculty of Medicine, Trakya University, Edirne, Turkey. fgvarol@yahoo.com
Ozgen
Levent
L
Sayin
N Cenk
NC
Demir
Muzaffer
M
D000328:Adult; D001724:Birth Weight; D005260:Female; D006801:Humans; D046110:Hypertension, Pregnancy-Induced / Q000097:blood*; D009929:Organ Size; D010920:Placenta / Q000033:anatomy & histology; D011225:Pre-Eclampsia / Q000097:blood; D011247:Pregnancy; D018180:Thrombomodulin / Q000097:blood*
D018180:Thrombomodulin