Affiliation: | 1. Faculty of Medicine, University of Belgrade, Belgrade, Serbia and;2. Department of Obstetrics and Gynecology, The Ohio State University College of Medicine, Columbus, OH, USA |
Abstract: | Objective: To measure fetal and maternal plasma homocysteine (Hcy) concentrations in uncomplicated pregnancies. Methods: Paired maternal venous and fetal umbilical cord blood (n?=?81) samples were evaluated for plasma Hcy and vitamin B12 levels, in addition to eight neonatal umbilical cord blood samples obtained immediately following delivery. Results: Both fetal and maternal Hcy concentrations were positively correlated with advancing gestational age (ρ?=?0.44, p?0.0001; and ρ?=?0.27, p?0.05, respectively). Fetal plasma Hcy concentrations [2.2?µmol/l (IQR: 2.0–3.2)] were significantly lower than both neonatal umbilical vein [5.0?µmol/l (IQR: 4.4–6.5); p?0.001] and maternal plasma Hcy levels [4.4?μmo/l (IQR: 3.4–5.4); p?0.001]. In addition, Hcy values at term were higher in the umbilical vein compared with the umbilical artery [5.0?μmol/l (IQR: 3.4–5.4) versus 4.2?μmol/l (IQR: 3.7–5.5), respectively; p?=?0.016]. Significant correlation was noted and between fetal and maternal Hcy levels (ρ?=?0.50, p?0.0001), while fetal Hcy was negatively correlated with maternal B12 concentrations (ρ?=??0.32, p?0.001). Conclusions: Fetal Hcy levels were significantly lower than maternal and neonatal levels and correlated with gestational age across the second half of pregnancy. |