Early-pregnancy changes in maternal lipid profile in women with recurrent preeclampsia and previously preeclamptic women with normal next pregnancy

S. Sep*, C. Rijvers, L. Smits, M. van Bilsen, O. Bekers, L. Peeters

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Objective: To evaluate early-pregnancy changes in lipid profile in recurrent preeclampsia. Methods: In this retrospective observational study, blood samples were obtained from 41 normotensive women with a history of early-onset preeclampsia preconceptionally and at 12 and 16 weeks in the next pregnancy. We assessed triglycerides (TGs), total cholesterol (TC), and high-and low-density lipoprotein cholesterol (HDL-C and LDL-C, respectively). We analyzed differences in longitudinal patterns between normal and recurrent preeclamptic next pregnancy using mixed-design repeated measurements analysis of covariance (ANCOVA). Results: Eleven (28%) women developed recurrent preeclampsia. Eighteen (45%) women had a normal pregnancy. In normal pregnancy, LDL-C declines transiently in the first trimester (P <.01). In women who develop recurrent preeclampsia later on this decline was absent. Moreover, from 12 weeks onward the elevating levels of HDL-C stagnates in women who subsequently develop recurrent preeclampsia (P = .02). Conclusion: These observations point to an abnormal early adaptation of lipid metabolism to pregnancy preceding clinical manifestation of preeclampsia.

Original languageEnglish
Pages (from-to)998-1004
Number of pages7
JournalReproductive Sciences
Volume18
Issue number10
DOIs
Publication statusPublished - 1 Jan 2011

Keywords

  • recurrent
  • preeclampsia
  • cholesterol
  • longitudinal
  • PLASMA
  • LIPOPROTEINS
  • METABOLISM
  • APOPTOSIS
  • DESIGNS
  • RISK

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