Document Detail


Activity of hepatic enzymes from week sixteen of pregnancy.
MedLine Citation:
PMID:  16325605     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: This study was undertaken to determine the prevalence, epidemiology, and mother-child repercussions of increased alanine-aminotransferase levels from week 16 of pregnancy. STUDY DESIGN: A longitudinal observational study of 381 pregnant women. The cause of increased alanine-aminotransferase levels during pregnancy and repercussions on the neonate were studied in 283 cases. Statistical analysis was performed with Mann-Whitney test, chi2 test, or the Fisher exact test. RESULTS: The mean age of the mothers was 29.9 +/- 4.8 years. Twenty-five percent presented increased gamma-glutamyl-transpeptidase, alkaline phophatase, and dehydrogenase lactate from week 32. Increased alanine-aminotransferase was observed in 7.4% (95% CI, 5.00%-10.57%) of cases. Clinical disorders were light, transitory, and with no apparent cause, except for 1 hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome, 3 preeclampsias, and 1 gravidic cholestasis. No statistically significant differences were observed in the group of mother-child with alanine-aminotransferase normal or increased. CONCLUSION: Most increases in alanine-aminotransferase from week 16 of pregnancy are transitory, non-specific, and have no repercussions on mother or child.
Authors:
Angeles Ruiz-Extremera; Mar?a A L?pez-Garrido; Enriqueta Barranco; Mar?a D Quintero; Esther Ocete-Hita; Paloma Mu?oz de Rueda; Ana Gila; Javier Salmer?n
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  193     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2005-12-05     Completed Date:  2006-03-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2010-6     Citation Subset:  AIM; IM    
Affiliation:
Pediatrics Service, H. Universitario San Cecilio, Granada, Spain. arextrem@ugr.es
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Alanine Transaminase / blood*
Female
Gestational Age
Humans
Infant, Newborn
L-Lactate Dehydrogenase / blood
Liver / enzymology*
Pregnancy / blood*
Pregnancy Outcome*
Pregnancy Trimester, Second
Pregnancy Trimester, Third
Prospective Studies
Socioeconomic Factors
gamma-Glutamyltransferase / blood
Chemical
Reg. No./Substance:
EC 1.1.1.27/L-Lactate Dehydrogenase; EC 2.3.2.2/gamma-Glutamyltransferase; EC 2.6.1.2/Alanine Transaminase

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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