IJIMS.2018.119

Type of Article: Original Research

Volume 5; Issue 6: 2018

Page No.: 659-662

DOI: 10.16965/ijims.2018.119

 

EVALUATION OF LIVER ENZYMES IN PREGNANCY WITH COMPLICATIONS

Sreeman N Junagam 1, Balu Jatthavath 2.

1 Assistant Professor, Department of Biochemistry, Alluri Seetarama Raju Institute Of Medical Sciences, Eluru- West Godavari- Dt-  India.

*2 Assistant Professor, Department of pharmacology, Alluri Seetarama Raju Institute Of Medical Sciences, Eluru- West Godavari- Dt- India.

Corresponding Author: Dr. Balu Jatthavath, Assistant Professor, Department of pharmacology, Alluri Seetarama Raju Institute Of Medical Sciences, Eluru- West Godavari- Dt- India. E-Mail: drjatthavath@gmail.com

 

ABSTRACT:

Background: The hormones secreted to support foetal growth and development show effect on metabolic, synthetic and excretory function of liver in pregnancy. Complications of pregnancy added to this may aggravate and precipitate liver dysfunction. Liver dysfunction in pregnancy has serious consequences. So in this study we studied the liver function tests in normal pregnancy and complicated pregnancy, distribution of complications according to maternal age and the association of liver function to all complications of pregnancy.

Materials and Methodology: This observational cross sectional study was conducted in Alluri Seetarama Raju Institute of Medical Sciences from March 2007 to September 2007 involving 46 normal pregnant women (control Group) and 40 complicated pregnant women (study Group).

Results: We found more complications in the pregnancy with increasing maternal age i.e., after 30 years (60%), and Hyperemesis gravidarum (20%) and urinary tract infection (20%) are the most common complications found in study group. We found significantly elevated levels of SGPT (ALT) study group when compared to control group (P=0.001).

Conclusion: Elderly maternal age will result in more complications which can lead to still births and maternal mortality. Complications of pregnancy can lead to liver dysfunction which may be sometimes difficult to find out because of lack of established reference range for LFT.

Key words: Normal pregnancy, complicated pregnancy, liver function tests (LFT).

REFERENCES

  1. Rachel H. Westbrook, Geoffrey Dusheiko, Catherine Williamson. Pregnancy and liver disease. Journal of Hepatology 2016;64:933–45.
  2. Yannick Bacq, Olivier Zarka, Jean-Franc et.al. Liver Function Tests in Normal Pregnancy: A Prospective Study of 103 Pregnant Women and 103 Matched Controls, hepatology, 1996;23:1030-4.
  3. Hacker N, Moore G, Gambone J. Essentials of obstetrics and gynaecology. Fourth edition. Philadelphia:Elsevier Saunders; 2004.
  4. Steven M M, Progress report, Pregnancy and liver disease Gut, 1981; 22: 592-614.
  5. Hepburn IS, Schade RR. Pregnancy-associated liver disorders. Dig Dis Sci. 2008;53:2334–58.
  6. Conchillo JM, Pijnenborg JM, Peeters P, Stockbrugger RW, Fevery J, Koek GH. Liver enzyme elevation induced by hyperemesis gravidarum: aetiology, diagnosis and treatment. Neth J Med. 2002; 60:374–8.
  7. Barbara Luke, Morton B. Brown, Contemporary Risks of Maternal Morbidity and
    Adverse Outcomes With Increasing Maternal Age and Plurality, Fertil Steril. 2007; 88(2): 283–93.
  8. Ling Huang, Reg Sauve, Nicholas Birkett, Dean Fergusson,Carl van Walraven, Maternal age and risk of stillbirth: a systematic review, 2008; 178(2): 165–72.
  9. Harish K, Nitha R, Harikumar R, Sunil Kumar K, Varghese T, Sreedevi NS, Bushrath K, Sandesh K, Tony J, Prospective evaluation of abnormal liver function tests in pregnancy. Trop Gastroenterol. 2005; 26(4):188-93.
  10. Maternal mortality: estimates developed by WHO, Geneva, World Health Organization, 2008. Available from http://www.who.int/making_pregnancy_safer/events/2008/mdg5/factsheet_maternal_mortality.pdf.
  11. Van Thiel DH, Gavaler JS. Pregnancy-associated sex steroids and their effects on the liver. Semin Liver Dis 1987; 7:1-7.
  12. Killam AP, Dillard SH, Patton RC, Pederson PR. Pregnancy induced hypertension complicated pregnancies. Am J Obstet Gynecol 1975; 123:823-8.
  13. Knox TA, Olans LB. Liver disease in pregnancy. N Engl J Med. 1996; 335:569–76.
  14. Raman L, Pawashe AB, Yasodhara P. Hyperferritinemia in pregnancy induce hypertension and eclampsia. 1992; 38:65-7.
  15. Girling J.C , ow E.D , Smith J.H, Liver function tests in pre-eclampsia:importance of comparison with a reference range derived for normal pregnancy Journal of Obstetrics and Gynaecology.1997;104:246-50.
  16. Bernuau J. Complications hépatiques de la grossesse. Rev Prat. 2003; 53(17): 1889-93.

Download Full Text TOC