Relationship between Serum Magnesium Status and the Incidence of Preeclampsia at 8 Padang Primary Health Care

Hifzhillah Fajriati(1*), Bobby Indra Utama(2), Nurhayati Nurhayati(3)

(1) Medical Profession, Faculty of Medicine, Andalas University
(2) Sub Division of Urogynecology, Obstetrics and Gynecology Department, Faculty of Medicine, Andalas University, Dr. M. Djamil Central General Hospital Padang
(3) Parasitology Department, Faculty of Medicine, Andalas University
(*) Corresponding Author

DOI: https://doi.org/10.25077/aoj.8.1.592-598.2024

Abstract


Introduction: Preeclampsia is one of the main causes of maternal morbidity and mortality, with its etiology and pathophysiology not fully understood. Several studies have shown that magnesium plays an important role in preeclampsia. Magnesium plays a role in modulating endothelial function. Decreased serum magnesium levels in pregnancy can trigger endothelial dysfunction that has an impact on the occurrence of preeclampsia.

Objective: Determine the relationship between serum magnesium status with incidence of preeclampsia in pregnant women at 8 Padang Primary Health Care.

Method: An observational analytic with cross-sectional design. Sampling was carried out using total sampling technique from research master data at 8 Padang Primary Health Care for period June 2019 May 2020. The total sample was 45 pregnant women who met the inclusion and exclusion criteria. Data were analyzed using Fishers.

Result: The serum magnesium status of pregnant women in the 8 Padang Primary Health Care was dominated by normal serum magnesium status (91.1%) and only 8.9% of pregnant women had preeclampsia. Fishers test showed that there was a significant relationship between serum magnesium status and the incidence of preeclampsia (p-value = 0,034).

Conclusion: There is a significant relationship between serum magnesium status and preeclampsia (with overlook the factors of previous preeclampsia history, family history of preeclampsia, and magnesium intake during pregnancy). Hypomagnesemia status in pregnant women can exacerbate the occurrence of preeclampsia.


Keywords


Serum magnesium status, pregnant women, preeclampsia

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References


Kementerian Kesehatan Republik Indonesia. Profil Kesehatan Indonesia Tahun 2019. Jakarta; 2020.

WHO. Maternal mortality : Level and Trends 2000 to 2017 in Sexual and Reproductive Health. 2019. https://www.who.int/reproductivehealth/publications/maternal-mortality-2000-2017/en/

Dinas Kesehatan Sumatera Barat. Profil Kesehatan Provinsi Sumatera Barat 2019.

Cunningham FG, J. Leveno K, L. Bloom S, C. Hauth J, J. Rouse D, Y. Spong Catherine. Hipertensi dalam Kehamilan dalam Obstetri Williams. Obstetri Wiliams. Ed 23. Vol 2. Jakarta: EGC; 2012:740-749.

Statistic by Country for Preeclampsia https://www.rightdiagnosis.com/p/preeclampsia/ stats-country.htm#extrapwarning

Dinas Kesehatan Kota Padang. Profil Kesehatan Kota Padang 2014.

Enaruna NO, Ande ABA, Okpere EE. Clinical Significance of Low Serum Magnesium in Pregnant Women Attending the University of Benin Teaching Hospital. Nigerian Journal Clinical Practice. 2013; 16(4): 448-53. doi: 10.4103/1119-3077.116887

Gröber U, Schmidt J, Kisters K. Magnesium in Prevention and Therapy. Nutrients. 2015;7(9): 8199-226. doi: 10.3390/nu7095388

Devita H, Amran VYA. Hubungan Kadar Magnesium dengan Kejadian Preeklamsia pada Ibu Hamil Trimester III di RSUP Dr. M. Djamil Padang Tahun 2015. Jurnal Kesehatan Masyarakat Andalas. 2016;10(2):136–9. doi: 10.24893/jkma.v10i2.197

Darkwa EO, Antwi-Boasiako C, Djagbletey R, Owoo C, Obed S, Sottis D. Serum Magnesium and Calcium in Preeclampsia: A Comparative Study at the Korle-Bu Teaching Hospital, Ghana. Integrated Blood Pressure Control. 2017;(10):9–15. doi: 10.2147/IBPC.S129106

Fitriani H, Setya AR, Keni M. Risk Factors of Preeclampsia Among Pregnant Women in Indonesia. KnE Life Sciences. 2021;836–41. doi: 10.18502/kls.v6i1.8761

Poon LC, Shennan A, Hyett JA, Kapur A, Hadar E, Divakar H, et al. The International Federation of Gynecology and Obstetrics (FIGO) Initiative on Pre-eclampsia: A Pragmatic Guide for First-Trimester Screening and Prevention. Int J Gynecol Obstet. 2019;145(S1):1-33. doi: 10.1002/ijgo.12802

Mayrink J, Souza RT, Feitosa FE, Filho EAR, Leite DF, Vettorzza J, et al.Incidence and Risk Factors for Preeclampsia in a Cohort of Healthy Nulliparous Pregnant Women: a Nested Case-Control Study. Sci Rep. 2019;9(1):9517. doi: 10.1038/s41598-019-46011-3

Arwan B, Sriyanti R. Relationship Between Gravida Status, Age, BMI (Body Mass Index) and Preeclampsia. Andalas Obstetric and Gynecology Journal. 2020;4(1):13–21. doi: 10.25077/aoj.4.1.13-21.2020

Tabrizi FM, Pakdel FG. Serum Level of Some Minerals During Three Trimesters of Pregnancy in Iranian Women and Their Newborns: A Longitudinal Study. Ind J Clin Biochem. 2014;29(2):174–80. doi: 10.1007/s12291-013-0336-x

Nabouli, M.R., Lassoued L., Bakri Z. Moghannem M. Modification of Total Magnesium Level in Pregnant Saudi Women Developing Gestational Diabetes Mellitus. Diabetes Metab Syndr Clin Res Rev. 2016;10(4): 183-185. doi: 10.1016/j.dsx.2016.06.001

Eltayeb R, Rayis DA, Sharif ME, Ahmed ABA, Elhardello O AI. The Prevalence of Serum Magnesium and Iron Deficiency Anaemia among Sudanese Women in Early Pregnancy: a Cross-Sectional Study. Trans R Soc Trop Med Hyg. 2018;113(1):31–35. doi: 10.1093/trstmh/try109

Okunade KS, Oluwole AA OM. A Study on the Association between Low Maternal Serum Magnesium Level and Preterm Labour. Advances in Medicine. 2014;704875. doi: 10.1155/2014/704875

Al Alawi AM, Majoni SW, Falhammar H. Magnesium and Human Health: Perspectives and Research Directions. International Journal of Endocrinology. 2018: 9041694. doi: 10.1155/2018/9041694

Rosanoff A, Weaver CM RR. Suboptimal Magnesium Status in the United States: are the health consequences underestimated? Nutrition Review. 2012;70(3):153–64. doi: 10.1111/j.1753-4887.2011.00465.x

Razzaque MS. Magnesium: Are We Consuming Enough? Nutrients. 2018;10(12):1863. doi: 10.3390/nu10121863

Morton A. Hypomagnesaemia and Pregnancy. Obstetric Medicine. 2018;11(2): 67-72. doi: 10.1177/1753495X17744478

Pare E, Parry S, McElrath TF, Pucci D, Newton A LK. Clinical Risk Factors for Preeclampsia in the 21st Century. Am Coll Obstet Gynecol. 2014;124(4):763–70. doi: 10.1097/AOG.0000000000000451

Darwin E, Elfi EF, Elvira D. Endotel: Fungsi dan Disfungsi. Padang: Andalas University Press; 2018.

English FA, Kenny LC, McCarthy FP. Risk Factors and Effective Management of Preeclampsia. Integrated Blood Pressure Control. 2015;8:7–12. doi: 10.2147/IBPC.S50641

Bdolah Y, Lam C, Rajakumar A, Shivalingappa V, Mutter W, Sachs BP, et al. Twin Pregnancy and the Risk of Preeclampsia: Bigger Placenta or Relative Ischemia? American Journal Obstetrics Gynecology. 2008;198(4):428.e1-6. doi: 10.1016/j.ajog.2007.10.783

Ayunani M, Nurrachmawati A, Susanti R. Faktor Ibu, Janin dan Riwayat Penyakit sebagai Risiko Preeklampsia di Asia dan Afrika: Suatu Meta-Analisis. Jurnal Kesehatan Reproduksi. 2019;10(2):127–39. doi: 10.22435/kespro.v10i2.2357.127-139

Cabarkapa V, Bogavac M, Jakovljevic A, Pezo L, Nikolic A, Belopavlovic Z, et al. Serum Magnesium Level in the First Trimester of Pregnancy as a Predictor of Pre-Eclampsia. Hypertension in Pregnancy. 2018;37(3):144-153. doi: 10.1080/10641955.2018.1494189

Vafaei H, Dalili M, Hashemi SA. Serum Concentration of Calcium, Magnesium and Zinc in Normotensive versus Preeclampsia Pregnant Women: A Descriptive Study in Women of Kerman Province of Iran. Iranian Journal of Reproductive Medicine. 2015;13(1):23–6. PMID: 25653672.

Shaikh K, Das CM, Baloch GH, Abbas T, Fazlani K, Jaffery MH, et al. Magnesium Associated Complications in Pregnant Women. World Applied Sciences Journal. 2012;17(9): 1074-1078.

Kostov K, Halacheva L. Role of Magnesium Deficiency in Promoting Atherosclerosis, Endothelial Dysfunction, and Arterial Stiffening as Risk Factors for Hypertension. International Journal of Molecular Sciences. 2018;19(6):1724. doi: 10.3390/ijms19061724


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