Association Between Serum Uric Acid Levels and Severe Pre-Eclampsia

Authors

  • Mirza Sijeel Ahmad Department of Anesthesia, Combined Military Hospital, Multan/National University of Medical Sciences (NUMS) Pakistan
  • Anam Akram Department of Obs & Gyne, Combined Military Hospital, Multan/National University of Medical Sciences (NUMS) Pakistan
  • Mehwish Gillani Department of Pathology, Pakistan Air Force Hospital, Hyderabad Pakistan
  • Tariq Ahmed Maka Department of ENT, Combined Military Hospital, Mangla/National University of Medical Sciences (NUMS) Pakistan
  • Anas Bin Saif Department of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v75iSUPPL-1.6674

Keywords:

Hyperuricemia, Pregnancy, Severe pre-eclampsia

Abstract

Objective: To determine the association of hyperuricemia with severe preeclampsia in pregnancy.

Study Design: Prospective Longitudinal study

Place and Duration of Study: Department of Gynecology, Combined Military Hospital, Multan, Pakistan from Mar 2019 to Jul 2019.

Methodology: A total of 68 women with gestational age 20 weeks, parity 0-5, patients with uricemia level ≥5.5mg/dl has been added in exposed group and patients with uricemia level <5.5mg/dl has been added in non-exposed group. Patients were evaluated by detailed history, clinical examination and BP. All relevant findings were documented on a designed proforma. Severe Preeclampsia was noted from both groups.

Results: Women of 18 to 40 years age were selected with mean age of 29.911± 3.49 years in Group A while 31.558± 3.99 years in Group B. Mean gestational age was 23.264±1.84 weeks in Group A and 24.352±1.99 weeks in Group B. Mean serum uricemia level was 6.961±0.74 mg/dl in Group A and 4.635±0.44 mg/dl in Group B. In group A, severe preeclampsia has been seen in 17(50%) womens as compare to 6(17.6%) womens in group B, (p=0.004, R.R=2.8).

Conclusion: This study concluded that the severe pre-eclampsia was associated with hyperuricemic pregnancy.

Downloads

Download data is not yet available.

References

English FA, Kenny LC, McCarthy FP. Risk factors and effective management of preeclampsia. Integr Blood Press Control 2015; 8: 7–12.

Siemons JM, Bogert LJF. The uric acid content of maternal and fetal blood. J Biol Chem 1917; 32: 63–67.

Yalamati P, Bhongir AV, Betha K, Verma R, Dandge S. Relationship of serum uric acid, serum creatinine and serum cystatin C with maternal and fetal outcomes in rural Indian pregnant women. Int J Reprod Contracept Obstet Gynecol 2015; 4(5): 1505–1510.

Jin M, Yang F, Yang I. Uric acid, hyperuricemia and vascular diseases. Front Biosci 2012; 17: 656–669.

Niraula A, Lamsal M, Majhi S, Khan SA, Basnet P. Significance of serum uric acid in pregnancy induced hypertension. Journal of the national medical association 2017; 109(3): 198-202.

Anusha T, Sankaranarayana t. Study of serum calcium, magnesium, uric acid and liver enzymes in pregnancy induced hypertension. Journal of Evolution of Medical and Dental Sciences 2018; 7(11): 1347-53.

Sultana R AS, Sultana N, Karim SM F, Atia F. Association of Serum Uric Acid with Preeclampsia: A Case Control Study. Delta Med Col J 2013; 1: 46–50.

Le TM, Nguyen LH, Phan NL, Le DD, Nguyen HV, Truong VQ, et al. Maternal serum uric acid concentration and pregnancy outcomes in women with pre‐eclampsia/eclampsia. International Journal of Gynecology & Obstetrics 2019; 144(1): 21-26.

Enaruna NO, Idemudia JO, Aikoriogie PI. Serum lipid profile and uric acid levels in preeclampsia in University of Benin Teaching Hospital. Niger Med J 2014; 55: 423–427.

Chen Q LS, Tong M, Wei J, Shen F, Zhao J, Zhao M. Serum uric acid may not be involved in the development of preeclampsia. J Hum Hypertens 2016; 30: 136–140.

Gadde R, Doddaiah DC, Rangappa SS. Relationship between Mean Arterial Pressure, Uric Acid and Calcium with Xanthine Oxidase Activity and Fetal Outcome in Normotensive and Preeclampsia in a Nested Study. Open Journal of Obstetrics and Gynecology 2018; 8(14): 1532.

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 2012; 119: 484–492.

Elmas O AY, Simsek T. The relationship between hypertension and plasma allantoin, uric acid, xanthine oxidase activity and nitrite, and their predictive capacity in severe preeclampsia. J Obstet Gynaecol 2016; 36: 34–38.

Masoura S, Makedou K, Theodoridis T, Kourtis A, Zepiridis L, Athanasiadis A. The involvement of uric acid in the pathogenesis of preeclampsia. Curr Hypertens Rev. 2015; 11: 110–115.

Corominas AI, Balconi SM, Palermo M, Maskin B, Damiano AE. Serum uric acid levels and risk of developing preeclampsia. Medicina 2014; 74: 462–471.

Zhao J ZD, Yang JM, Wang M, Zhang XT, Sun L, Yun XG, et al. Maternal serum uric acid concentration is associated with the expression of tumour necrosis factor-alpha and intercellular adhesion molecule-1 in patients with preeclampsia. J Hum Hypertens 2016; 30: 456–462.

Asgharnia M, Mirblouk F, Kazemi S, Pourmarzi D, Keivani MM, Heirati SF, et al. Maternal serum uric acid level and maternal and neonatal complications in preeclamptic women: A cross-sectional study. International Journal of Reproductive BioMedicine 2017; 15(9): 583.

Matias ML, Romao M, Weel IC, Ribeiro VR, Nunes PR, Borges VT, et al. Endogenous and Uric Acid-Induced Activation of NLRP3 Inflammasome in Pregnant Women with Preeclampsia. PloS One 2015; 10: e0129095

Downloads

Published

30-01-2025

Issue

Section

Original Articles

How to Cite

1.
Ahmad MS, Akram A, Gillani M, Maka TA, Saif AB. Association Between Serum Uric Acid Levels and Severe Pre-Eclampsia. Pak Armed Forces Med J [Internet]. 2025 Jan. 30 [cited 2025 Feb. 10];75(SUPPL-1):S64-S67. Available from: https://pafmj.org/PAFMJ/article/view/6674