RESEARCH Difference in Mean Levels of Calcium Magnesium Ratio and Sodium Potassium Ratio of Maternal Serum Between Severe Preeclampsia and Eclampsia

Authors

  • Joserizal Serudji Sub Division of Maternal Fetal Medicine, Obstetrics and Gynecology Department, Faculty of Medicine, Andalas University, Dr. M. Djamil Central General Hospital Padang
  • Helga Helga Resident of Obstetrics and Gynecology, Faculty of Medicine, Andalas University, Dr. M. Djamil Central General Hospital Padang
  • Hafni Bachtiar Public Health Department, Faculty of Medicine, Andalas University Padang

DOI:

https://doi.org/10.25077/aoj.1.1.22-29.2017

Abstract

The high incidence of preeclampsia and eclampsia causes the importance of early detection especially eclampsia which is the main cause of maternal morbidity and mortality and bad perinatal outcome. The etiology was unknown, but is related to changes in electrolyte status. Electrolytes such as calcium (Ca2+), Magnesium (Mg2+), sodium (Na+) and potassium (K+) play an important role in pre-eclampsia and eclampsia because they contribute significantly in vascular smooth muscle function. This study was done to analyze the differences in mean levels of calcium magnesium ratio and sodium potassium ratio of maternal serum in severe preeclampsia and eclampsia. We performed an observasional comparative with cross sectional study on 16 women with severe preeclampsia and 16 women with eclampsia who met the inclusion criteria and there were no exclusion criteria. The samples were recruited in Dr. M Djamil general hospital Padang, Solok District Hospital, and Pariaman District Hospital from May 2015 to January 2016. The levels of calcium serum were examined by atomic absorption spectrophotometry (AAS), magnesium levels were examined by enzymatic metode, sodium and potassium levels were examined by ion selection electrode (ISE). The differences in mean levels of calcium magnesium ratio and sodium potassium ratio between the two groups was analyzed by using independent t test. The mean levels of calcium magnesium ratio in severe preeclampsia was significantly higher than eclampsia. The mean levels of sodium potassium ratio in severe preeclampsia was significantly lower than eclampsia.

Keywords: Calcium magnesium ratio, sodium potassium ratio, severe preeclampsia, eclampsia

References

Dekker G. Hypertension. Dalam High Risk Pregnancy 4th Edition. Elsevier Saunders, Philadelphia 2011.

Cunningham FG. Williams Obstetrics. 24th ed. New York. Appleton & Lange.2014;1508-1613.

Lim KH. Preeclampsia. Available

from:http://www.medscape diakses pada 15 September 2013

Madi J dan Sulin J. Angka Kematian pasien Preeklamsia dan Eklamsia di Rs.Dr M.Djamil Padang 1998-2002. Bagian Obsgin FK.Unand /Rs.Dr.M.Djamil Padang, Kongres POGI XII Juli 2003

Rekam Medik. Bagian Obsgyn RS. Dr. M. Djamil Padang Periode 1 Januari sampai 31 Desember 2011

Rekam Medik. Bagian Obsgyn RS. Dr. M. Djamil Padang periode 1 Januari sampai 31 Desember 2012

Rekam Medik. Bagian Obsgyn RS. Dr. M. Djamil Padang periode 1 Januari sampai 31 Desember 2013

Handaya. Cara-cara prediksi Preeklamsia pada perawatan antenatal. Bagian Obstetri dan Ginekologi Fakultas Kedokteran Universitas Indonesia/RSCM. Dibacakan pada PTP POGI IX. Surabaya;2-5 Juli 1995

Pangemanan WT. Diagnosis dini dan prediksi hipertensi dalam kehamilan. Lab/UPF Obstetri dan Ginekologi Fakultas Kedokteran Universitas Sriwijaya/RSMH Palembang,2002

Indumati K, Kodliwadmath MV and Sheela MK. The Role of serum Electrolytes in Pregnancy induced hypertension. Journal of Clinical and Diagnostic Research 2011; 5(1):66-69.

Pallavi PC, Pranay AJ, Jasmin HJ. Changes in serum calcium and Magnesium level in preeclampsia vs normal pregnancy. International J of Biomedical and advance Research 2012; 3(6):511-513.

Golmohmmad L S, Amirabi A et al.

Evaluation of serum calcium, magnesium, copper & zinc levels in women with preeclampsia. Iran Journal of Medical Sciences 2008; 33(4): 231-234.

Wang T, Wang J, Cottrell JE, Kass IS. Small physiologic changes in calcium and magnesium alter excitability and burst firing of CIA pyramidal cells in rat hippocampal slices. J Neurosurg Anesthesiol. 2004 July; 16(3): 201 – 9.

Idogun ES, Imarengiaye CO. Extracellular

Calcium and Magnesium in Preeclampsia and Eclampsia. Afr J Reprod Health 2007; 11[2]:80-85.

Ganong W.F, ’Fungsi Ginjal dan Miksi’ pada Buku Ajar Fisiologi Kedokteran, edisi ke-22,Penerbit Buku Kedokteran EGC, Jakarta,2005, hh. 725-756.

Sunitha T, Sameera K, Umaramani

G. Study of Biochemical changes in Preeclamptic women. International Journal of Biological & Medical Research. 2012; 3(3): 2025-2028

Delgado M. C., Potassium in

Hypertension. Current Hypertension Reports. 2004. 6:31–35.

Arumanayagam M. and Rogers M., Platelet sodium pump and Na+ /K+ cotransport activity in non pregnant, normotensive and hypertensive pregnant women.Hypertens. Pregnancy. 1999. 18(1):35-44.

Pikilidou MI, Lasaridis AN, Sarafidis PA,et al, Blood pressure and serum potassium levels in hypertensive patients receiving or not receiving antihypertensive medicine.Clin Exp. Hypertens. 2007. 29(8): 563-73.

Gallen IW, Rosa RM, Esparaz DY, et al., On the mechanism of the effects of potassium restriction on blood pressure and renal sodium retention. Am J Kidney Dis. 1998. 31:19-27.

Manjareeka M. Serum electrolyte levels in preeclamptic woman: A comparative study. International Journal of Pharma and Bio Sciences vol 3, June 2012.

Bromfield EB, Cavazos JE, An Introduction to Epilepsy in Chapter 1 Basic Mechanisms Underlying Seizures and Epilepsy, American Epilepsy Society, 2006.

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Published

2019-11-28

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RESEARCH ARTICLE