Erythropoietin in amniotic fluid as a marker of chronic fetal hypoxia

被引:29
作者
Buescher, U [1 ]
Hertwig, K [1 ]
Wolf, C [1 ]
Dudenhausen, JW [1 ]
机构
[1] Free Univ Berlin, Rudolf Virchow Hosp, Dept Obstet, D-1000 Berlin, Germany
关键词
erythropoietin; amniotic fluid; pregnancy; fetal hypoxia; preeclampsia; diabetes mellitus;
D O I
10.1016/S0020-7292(98)00011-3
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To determinate the erythropoietin concentration in amniotic fluid in normal pregnancies and pregnancies with suspected hypoxia. Method: The erythropoietin concentration of 164 samples of amniotic fluid was determined by ELISA. The samples were taken by amniotomy during birth, as well as amniocentesis conducted during prenatal care. Results: A distribution of 1.07-7.29 U/1 (10th-90th percentile) within the normal group (n = 106) was determined. Significantly elevated erythropoietin levels in amniotic fluid were determined in maternal hypertension (P = 0.039) and low birth-weight children (P = 0.0032). A correlation with the child's sex could be excluded. Conclusion: Elevated erythropoietin levels in amniotic fluid indicated chronic fetal hypoxia. (C) 1998 International Federation of Gynecology and Obstetrics.
引用
收藏
页码:257 / 263
页数:7
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