Oxidative stress as determined by glutathione (GSH) concentrations in venous cord blood in elective cesarean delivery versus uncomplicated vaginal delivery

被引:38
作者
Paamoni-Keren O. [1 ]
Silberstein T. [1 ]
Burg A. [2 ]
Raz I. [1 ]
Mazor M. [1 ]
Saphier O. [2 ]
机构
[1] Department of Obstetrics and Gynecology, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva
[2] Department Chemical Engineering, Faculty of Chemical Engineering, Sami Shamoon College of Engineering
关键词
Elective cesarean delivery; Glutathione; Oxidative stress; Uncomplicated vaginal delivery;
D O I
10.1007/s00404-006-0304-2
中图分类号
学科分类号
摘要
Objective: To determine whether neonates are subject to oxidative stress by the labor process and the mode of delivery by measuring glutathione (GSH) concentrations in umbilical cord venous blood. Study design: Forty-eight women with singleton term pregnancies were prospectively recruited and classified as follows: 26 women had a spontaneous uncomplicated vaginal delivery (VD), and 22 women had an elective cesarean delivery (CD). GSH concentration in umbilical venous blood samples was determined by a spectroscopic method. Results: Umbilical cord venous blood GSH levels were significantly lower in the elective CD group than in the VD group (2.2 and 2.7 mM, respectively, P = 0.0003). There was a significantly negative correlation between cord blood pO2 and GSH levels; however, the negative correlation was significantly higher in the elective CD group (P < 0.05). Conclusion: Neonates delivered by CD were exposed to a higher oxidative stress as determined by GSH levels compared to those who had an uncomplicated VD. © 2007 Springer-Verlag.
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页码:43 / 46
页数:3
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