Comparison on the Incidence of Blood Pressure Increase in the Second Trimester Based On Glomerular Filtration Rate (GFR)
(1) Sub Division of Maternal Fetal Medicine, Obstetrics and Gynecology Department, Faculty of Medicine, Andalas University, Dr. M. Djamil Central General Hospital Padang
(2) Public Health Department, Faculty of Medicine, Andalas University Padang
(*) Corresponding Author
DOI: https://doi.org/10.25077/aoj.3.1.15-26.2019
Abstract
During normal pregnancy, glomerolus filtration rate (GFR) is increased so that the concentration of urea and creatinine decreased. With the onset of hypertension in pregnancy, renal perfusion and glomerular filtration decreases, the greater of decline showed more severe illness. This was an observational analytic study with Cohort design and performed in Obgyn Department of M. Djamil Hospital Padang, general district hospital in Batusangkar and Achmad Mukhtar, Private Practice Midwife in Batusangkar from June-December 2014. 100 samples of first trimester of pregnancy, each subject were examined ureum, creatinine, cystatin-c and glomerular filtration rate (GFR) based on CKD-EPI Cystatin and Creatinine 2012 Equation formula. Then divided into two groups, high glomerular filtration rate (GFR) high and low glomerular filtration rate (GFR) group. Each subject was evaluated blood pressure every 3 weeks and statistical analysis was done using the Independent samples test and chi square. There was significant association difference in the levels of urea, creatinine and cystatin-c between high GFR group and low GFR group (p <0.05). There was a statistically significant relationship between low GFR group of pregnant women with changes in systolic and diastolic blood pressure that persists or increases of 5-10 mmHg (p <0.05).
Keywords: Preeclampsia, glomerular filtration rate (GFR), ureum, creatinine, cystatin-c, blood pressureFull Text:
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Eiland E, Nzerue C, Faulkner M. Preeclampsia 2012. Journal of Pregnancy. Volume 2012.
Jie L, et al. A follow-up study of women with a history of severe preeclampsia: relationship between metabolic syndrome and preeclampsia. Chinese Medical Journal 2011; 124(5): 775-779
Madi J, Sulin. D. Angka kematian Pasien preeklampsia dan Eklampsia RS Dr M Djamil padang tahun 1998-2002. Bagian Obstetri dan Ginekologi FK Unand/RS Dr.
M. Djamil. Padang.
Zilfira D. Adiponektin Pada Preeklampsia. Bagian Obstetri dan Ginekologi FK Unand/ RS Dr. M. Djamil. Padang. 2012 : 3.
Davidson JM, Lindheimer MD. Renal Disorders. In: Creasy RK, Resnik R, Iams JD, eds. Maternal-Fetal Medicine Principles and Practice. Philadelphia. 2004:901-24.
Epstein FH, Karumanchi SA. In Pregnancy and the Kidney. J.Nephrology, Harvard Medical School. 2005. : 3: 9.
Sjaifullah N. M. Evaluasi Fungsi Ginjal Secara Laboratorik (Laboratoric evaluation on renal function). Lab - SMF Ilmu Kesehatan Anak FK UNAIR. RSU Dr. Soetomo. Surabaya. 2006.
George H et al. Cystatin C A Promising Test for Insurance Screening. University of Wisconsin-Milwaukee. 2009.
Siemens. Cystatin C, What is its Role in Estimating GFR?. National kidney foundation. Kidney Learning systems. New York .2009. 10016.
Yaswir R, Maiyesi A. Pemeriksaan Laboratorium Cystatin C Untuk Uji Fungsi Ginjal. Jurnal Kesehatan Andalas. Padang. 2012; p.10-15.
Strevens H. et al. Serum Cystatin C Reflects Glomerular Endotheliosis in Normal, Hypertensive and Pre-eclamptic Pregnancies. BJOG: an International Journal of Obstetrics and Gynaecology. 2009. Vol. 110. p. 825–830.
Cunningham FG. Hypertensive disorders in pregnancy. In: Williams Obstetrics, 23 rd eds, Chapter 34. The McGraw-Hill Companies, 2010 ; 1429-36.
Janice et al. Cystatin C – A Paradigm of Evidence Based Laboratory Medicine. Department of Biochemistry, Medlab South Ltd, 137 Kilmore Street. New Zealand. 2008. Rev Vol 29.p 47-62.
Saleh S. et al. Second Trimester Maternal Serum Cystatin C Levels in Preeclamptic and Normotensive Pregnancies: A Small Case-Control Study. Hypertension in Pregnancy. 2010. 29:112–119.
Hladunewich M. Renal Injury and Reovery in Pre-eclampsia. Divisions of Critical Care and Nephrology,Sunnybrook and Women’s College Health Sciences Centre,Toronto, Canada. Fetal and Maternal Medicine Review. 2005; 16:4 323–341.
Anderson CM, et al. Characterization of Changes in Leptin and Leptin Receptors in A Rat Model of Preeclampsia. American Journal of Obstetric and Gynecology. 2005. 267-272.
Pusparini. Cystatin C Sebagai Parameter Alternatif Uji Fungsi Ginjal. Bagian Patologi Klinik Fakultas Kedokteran Universitas Trisakti. Universa Medicina. Vol.24 No.2. April-Juni 2005.
Carlson JA. Chronic Renal disease and pregnancy. In: Craigo SD, Baker ER, eds. Medical Complications in Pregnancy. McGraw Hill. New York. 2005:171-85.
Krane KN, Hamrahian M. Pregnancy: kidney diseases and hypertension. American Journal of Kidney Diseases. 2007 February;49(2):336-45.
Mountquin JM, Rainville C, Giroux L, Raynauld P. A Prospective Study of Blood Pressure in Pregnancy : Prediction of Pre- eclampsia. American Journal Obstetric and Gynecology. Vol. 2. January 1985 : 191-6.
Broughton P, Sharif J, Lal S. Predicting High Blood Pressure in Pregnancy : a multivariate approach. Journal Hypertens. Vol 16. October 1998 : 1561-2.
Michelle B, Eugene W. Screening for Preeclampsia. US Preventive Services Task Force. Guide to Clinical Preventive Services, 2nd Edition. Washington DC, USA, Department of Health and Human Services, Office of Disease Prevention and Health Promotion. 1996.
Frances KW. Tinjauan klinis atas hasil pemeriksaan laboratorium. Edisi 9. Penerjemah : Siti Boedina Kresno, R. Gandasoebrata, J.Latu. Bagian Patologi Klinik FKUI/RSCM. Penerbit Buku Kedokteran EGC. Jakarta. 1995 : 519-55.
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