Do copper levels alter in different phases of pregnancy: A hospital based cross sectional comparative study


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Article type :

Original Article

Author :

Kalpeshkumar C Nakarani, Ramavataram VSS Divvi, Dhruvita A Patel

Volume :

6

Issue :

3

Abstract :

Introduction: Pregnant women undergo various hormonal and metabolic adaptations. The focus of the present study was to assess various biochemical parameters including serum copper in the second or third trimester pregnant women. It is a cross sectional study carried out at a tertiary care center i.e. SMIMER, Surat, India. Material and Methods: 2nd trimester and 3rd trimester pregnant women were included in this study and compared with age matched apparently healthy women. Women with history of smoking, alcohol/tobacco addiction, liver disease, chronic renal failure, diabetes mellitus, hypertension and endocrine disorders were excluded from the study. After informed consent, blood samples were collected. Analysis of various biochemical parameters including copper were analyzed and data was analyzed. Results: Significantly lower level of urea, creatinine, albumin, total protein, total bilirubin, alanine aminotransferase & aspartate aminotransferase activity in pregnant subjects compared to control was observed. Significantly increased dyslipidemia was observed in pregnant women compared to controls. Significantly higher levels of serum copper were observed in 3 trimester followed by 2 trimester compared to controls. This happened irrespective of age and gravida status. Conclusion: As expected lower levels of various biochemical parameters were found in pregnant women compared to controls due to hemodilution. Important finding of this study is the dyslipidemia observed in pregnant women which may be attributed to hormonal and metabolic changes. There was an increasing pattern in the levels of serum copper as the pregnancy progresses but pattern exists in a population needs to be explored.

Keyword :

 Copper pregnancy, Biochemical parameters, Atomic absorption spectrometry, Trimester.