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ASSESSMEMT OF ANTICARDIOLIPIN ANTIBODY AND URINE ALBUMIN CREATININE RATIO INNIGERIANPREGNANT WOMEN WITH PREECLAMPSIA
Abstract
Hypertensive disorders of pregnancy is an umbrella term that includes
preeclampsia (PE) which complicates up to 10% of pregnancies, is the cause of
9% to 26% of global maternal mortality, and represent a significant proportion
of preterm delivery, and maternal and neonatal morbidity.
Is a potentially serious complication of pregnancy as suspected preeclampsia is
the most frequent clinical presentation to obstetric unit. It is associated with
severe complications such as seizures, stroke, and multiple organ failure.
The aim of this study is to assess anticardiolipin antibody and spot urinary
albumin: creatinine ratio in pregnant women patients with preeclampsia.
This cross sectional study was conducted at Omdurman Hospital of Obstetrics
and Gynecology on 80Nigerianpregnant women according to selection
criteria, and the study carried out in Omdurman Militarily Hospital in Khartoum
State, on a total of 80 samples including 40 Preclamptic females as case group
and 40 healthy pregnant females as controls. Serum anticardiolipin antibody
(IgG aCL) levels was estimated using ELISA method, and urine albumin:
creatinine ratio was estimated using Cobas Integra 400 plus automated analyzer.
Data was analyzed by using the SPSS computer software program version 24.
This study showed that the levels of urine albumin: creatinine ratio was
significantly increased with (P-value= 0.000); while there was insignificant
decrease in levels of IgG anticardiolipin antibody (IgG aCL) with (P-value=
0.517) in preeclampsia patients compared to control group.
Insignificant negative correlation was observed between urine albumin
creatinine ratio level and blood pressure (R=-0.002, P-value=0.989), also an
association between IgG anticardiolipin antibody level and blood pressure was
revealed insignificant negative correlation (R=-0.179, P-value =0.269).
There was insignificant weak positive correlation between levels of urinary
albumin: creatinine ratio and IgG anticardiolipin antibody with value (R =0.295,
P-value =0.064).
From the results and findings of this study, it is concluded that: The urinary
levels of albumin: creatinine ratio are higher in preeclampsia patients, and the
levels of IgG anticardiolipin antibody remained within the normal range in both
case and control groups.
Negative correlation were found between blood pressure of preeclamptic
pregnant women and their levels of urinary albumin: creatinine ratio and IgG anticardiolipin antibody.
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