[Correlation of maternal serum and amniotic fluid leptin and insulin levels with neonatal birth weight].

Harefuah

Department of Obstetrics and Gynecology, The Baruch Padeh Medical Center, Poriya, affiliated to the Rappaport Faculty of Medicine, Technion, Israel Institute of Technology, Haifa, Israel.

Published: July 2009

Background: Numerous studies correlated maternal serum and fetal cord Leptin Levels in pregnancy with new born weight (NBW) and maternal body mass index (BMI). However, there are only a few published studies concerning amniotic fluid leptin and its possible relationship to fetal growth and NBW.

Objectives: To correlate leptin and insulin in amniotic fluid and maternal serum collected at 16-20 gestational weeks to NBW.

Methods: This was an observational study in which maternal serum Leptin, insulin, and amniotic fluid Leptin and insulin, studied from 70 healthy pregnant women undergoing amniocentesis for karyotyping, at 16-20 weeks gestation. NBW was correlated with maternal BMI and leptin and insulin Levels in maternal serum and amniotic fluid.

Results: Maternal serum leptin was detected as the best predictor of NBW. Squared correlation coefficient, r2 = 0.09, was statistically significant (P < 0.01). Maternal BMI correlated significantly with serum Levels of insulin and leptin r2 = 0.16 and 0.27 respectively, P < 0.01.

Conclusion: In normal pregnancies, amniotic fluid Leptin correlates partially with NBW. Maternal serum leptin correlates significantly with NBW.

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