Department of Obstetric and Gynecology, Firat Universitesi Hastanesi Kadin Dogum Anabilim Dali, 23119 Elazig, Turkey.
Arch Gynecol Obstet. 2012 Mar;285(3):649-53. doi: 10.1007/s00404-011-2061-0. Epub 2011 Aug 17.
To investigate the association between kisspeptin 10 (Kp-10) levels and early pregnancy bleeding and perinatal outcome.
A total of 20 pregnant women with the complaint of vaginal bleeding during 7-18 gestational weeks and 20 healthy gestational week matched pregnant women were included in the study. Maternal plasma Kp-10 levels were measured with the enzyme immunoassay method. Adverse pregnancy outcomes like intrauterine growth restriction, preterm delivery, preeclampsia and low birth weight were evaluated in both groups.
Maternal plasma Kp-10 levels (p = 0.01) and birth weight (p = 0.06) were found to be lower in women with bleeding. Intrauterine growth restriction, preterm delivery and intrauterine exitus were noted more commonly in women with bleeding (10 vs. 0%, 25 vs. 15% and 20 vs. 0%, p = 0.08). Preeclampsia were developed in 5% of both groups. Kp-10 levels showed positive correlation with gestational week (p = 0.02) and ALT levels (p = 0.02).
[corrected] Kp-10 levels were found lower in women with early pregnancy bleeding.
探讨 kisspeptin 10(Kp-10)水平与早期妊娠出血及围产结局的关系。
纳入 20 例妊娠 7-18 周有阴道出血症状的孕妇和 20 例同期健康妊娠的孕妇作为研究对象。采用酶联免疫吸附法测定母体外周血 Kp-10 水平。评估两组孕妇的不良妊娠结局,如宫内生长受限、早产、子痫前期和低出生体重儿。
出血组孕妇的母体外周血 Kp-10 水平(p = 0.01)和出生体重(p = 0.06)均较低。出血组孕妇宫内生长受限、早产和宫内死亡的发生率更高(10%比 0%、25%比 15%和 20%比 0%,p = 0.08)。两组孕妇子痫前期的发生率均为 5%。Kp-10 水平与妊娠周数呈正相关(p = 0.02),与 ALT 水平呈正相关(p = 0.02)。
早期妊娠出血孕妇的 Kp-10 水平较低。