RESULTS. Group I: consists of 30 healthy pregnant women with uncomplicated pregnancy. Group II consists of 30 pregnant women with mild preeclampsia.
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1 RESULTS The present prospective controlled study was carried out during the period 2004 till The study comprised 90 pregnant women among those attending antenatal care clinic and admitted to Obstetric Department, Mit Ghamr Central Hospital and Benha University Hospital. The cases comprised 3 groups : Group I: consists of 30 healthy pregnant women with uncomplicated pregnancy. Group II consists of 30 pregnant women with mild preeclampsia. Group III consists of 30 pregnant women with severe preeclampsia. Results are tabulated, statistically analysed and shown in the following tables 169
2 Table(1) There is no significant difference between study groups as regards age, BMI, gestational age (P>0.05). Systolic and diastolic blood pressure is significantly elevated (P<0.001) in preeclamptic groups compared with control cases & in severe PE groups compared with mild PE group. 170
3 TABLE(1): CLINICO-EPIDEMIOLOGICAL DATA OF STUDY CASES Group Control Mild PE Severe PE P Parameter Age(years) mean SD Range BMI(kg/m2) mean SD Range Gest.age (weeks) mean SD Range SystolicBP mean SD Range , P1>0.05 P2>0.05 P3>0.05 P1>0.05 P2>0.05 P3>0.05 P1>0.05 P2>0.05 P3>0.05 P1<0.001 P2<0.001 P3<0.001 DiastolicBP mean SD Range P1<0.001 P2<0.001 P3<0.001 P>0.05= non significant P<0.001= highly significant 171
4 Table (2) shows : Significant elevation of serum leptin level in severe and mild PE groups compared to control group(p<0.01). No significant change is detected between mild and severe PE groups.(p>0.05). Significant elevation of total testosterone level in severe PE groups compared to control group(p<0.01). No significant change is detected between mild and control groups. And between mild and severe PE groups (p>0.05). Significant elevation of free testosterone level in severe PE groups compared to control group(p<0.05). No statistically significant change is detected between mild and severe PE groups and between mild and control groups (p>0.05). No statistically significant change of serum DHEAS level between control and PE groups (p>0.05). 172
5 TABLE(2): MATERNAL PLASMA LEPTIN, TESTOSTERONE, FREE TESTOSTERONE, AND DHEAS AMONG STUDY CASES Control Mild PE Severe PE P LEPTIN (ng/ml) mean SD Range Test. (ng/ml) mean SD Range FreeTest. (pg/ml) mean SD Range DHEAS (ng/ml) mean SD Range P 1 <0.01 P 2 <0.01 P 3 >0.05 P 1 >0.05 P 2 <0.01 P 3 >0.05 P 1 >0.05 P 2 <0.01 P 3 >0.05 P 1 >0.05 P 2 >0.05 P 3 >0.05 P1 P2 P3 comparison of control VS Mild comparison of control VS Severe comparison of Mild VS Severe 173
6 Table (3) shows that there is no significant correlation between leptin and maternal age, gestational age and BMI in all groups. Significant positive correlation is reported between leptin and systolic and diastolic blood pressure (P<0.05) in cases with severe preeclampsia. 174
7 TABLE(3): CORRELATION BETWEEN SERUM LEPTIN AND CLINICO-EPIDEMIOLOGICAL DATA OF STUDY CASES. * Significant change Control Mild PE Severe PE r p r p r p Age (years) 0.19 > > >0.05 Gest. Age (weeks) BMI (kg/m2) Systolic Bp Diastolic Bp 0.14 > > > > > > > > <0.05* 0.19 >0.05 o.15 > <0.05* 175
8 Table (4) shows that there is no significant correlation between total testosterone and maternal age, gestational age and BMI in all groups. Significant positive correlation is reported between systolic and diastolic blood pressure(p<0.05)and total testosterone in cases with severe preeclampsia. 176
9 TABLE(4): CORRELATION BETWEEN TOTAL TESTOSTERONE AND CLINICO-EPIDEMIOLOGICAL DATA OF STUDY CASES. Age (years) Gest.age (weeks) BMI (kg/m2) SystolicBP DiastolicBP CONTROL MILD PE SEVERE PE r p r p r p 0.21 > > > > > > > > > > > <0.001* > > <0.05 * Highly significant 177
10 Table (5) shows that there is no significant correlation between free testosterone and maternal age, gestational age and BMI in all groups. Significant positive correlation is reported between free testosterone and systolic and diastolic blood pressure(p<0.05) in cases with severe preeclampsia. 178
11 TABLE(5): CORRELATION BETWEEN FREE TESTOSTERONE AND CLINICO-EPIDEMIOLOGICAL DATA OF STUDY CASES. Age (years) Gest.age (weeks) BMI (kg/m2) SystolicBP DiastolicBP Control MILD PE SEVERE PE r p r p r p > > > > > > > > > > > < > > <
12 Table (6) shows that there is no significant correlation between DHEA-S level and clinico-epidemiological data of study cases (P>0.05). 180
13 TABLE(6): CORRELATION BETWEEN DHEAS LEVEL AND CLINICO-EPIDEMIOLOGICAL DATA OF STUDY CASES. Age (years) Gest.age (weeks) BMI (kg/m2) SystolicBP DiastolicBP Control Mild PE Severe PE r p r p r p > > > > > > > > > > > > > > >
14 Table(7) shows that there is negative significant correlation between Birth Weight and systolic and diastolic blood pressure in severe preeclamptic group(p<0.05) but no significant correlation between Birth Weight and clinical parameters of mild preeclamptic and control groups (P>0.05). 182
15 TABLE(7): CORRELATION BETWEEN BIRTH WEIGHT AND CLINICO-EPIDEMIOLOGICAL DATA OF STUDY CASES. Age (years) Gest. Age (weeks) BMI (kg/m2) SystolicBp DiastolicBp Control Mild PE Severe PE r p r p r p 0.24 > > > > > > > > > > > < > > <
16 Table (8) shows no statistically significant difference between all groups as regards gestational age (P>0.05).There is highly significant difference between control group compared to mild preeclamptic and severe preeclamptic groups as regards Apgar score 1 minutes, Apgar score 5 minutes (P<.001). But there is no significant difference between control and preeclamptic groups as regards admission to neonatal intensive care unit (P>0.05). Table(8) shows that there is significant difference in birth weight between severe preeclamptic and mild preeclamptic groups (P<0.01) compared to control group but no significant difference between severe preeclamptic and mild preeclamptic groups ( P 3 >0.05). 184
17 TABLE (8): FETAL OUTCOME IN STUDY CASES Control Mild PE Severe PE P Gest. Age (weeks) P1< 0.001* P2< 0.001* P3>0.05 Apgar Score 1 min P1< 0.001* P2< 0.001* P3< 0.001* Apgar Score 5 min P1< 0.001* P2< 0.001* P3< 0.001* B. weight (KG) mean SD Range P 1 <0.01 P 2 <0.01 P 3 >0.05 ICU Adm. No. % P1>0.05 P2>0.05 P3>0.05 P1 : Mild PE compared to control cases P2 : Severe PE compared to control cases P3 : Severe PE compared to mild PE P<0.05 significant change P<0.001 highly significant change 185
18 Table (9) There is significant positive correlation between leptin and serum total testosterone levels in PE cases compared to control cases (P<0.05) but no significant correlation between maternal serum leptin and maternal free testosterone and DHEAS levels in PE and control cases (P>0.05). 186
19 TABLE (9) :CORRELATION BETWEEN SERUM LEPTIN AND SERUM ANDROGENS. Control Mild PE Severe PE r p r p r p Total test. (ng/ml) Free test. (Pg/ml) DHEAS (ng/ml) > <0.05 o.55 < > > > > > >
20 Table (10) shows negative significant correlaton between birth weight and serum leptin and total testosterone in severe preeclamptic group ( p<0.05). 188
21 TABLE (10): CORRELATION BETWEEN BIRTH WEIGHT AND LABORATORY DATA OF STUDY CASES. CONTROL Mild PE N=30 SeverePE N=30 r p r p r p Leptin (ng/ml) Total test. (ng/ml) FreeTest. (pg/ml) DHEAS (ng/ml) 0.13 > > < > > < > > > > >0.05 0,19 >
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