Hepcidin and erythropoietin measurements in the cord blood of neonates with meconium-stained amniotic fluid.

J Obstet Gynaecol Res

Department of Perinatology, Zekai Tahir Burak Women's Education and Research Hospital Department of Hematology, Ankara Children's Hospital Department of Biochemistry, Ankara Numune Hospital, Ankara, Turkey.

Published: January 2013

Aim: To compare hepcidin and erythropoietin levels in the cord blood of neonates with meconium-stained amniotic fluid (MSAF) to levels obtained from age-, body mass index- and gravidity-matched neonates with clear amniotic fluid.

Methods: A cross-sectional controlled study was conducted in secondary and tertiary care centers. Cord blood samples of 40 neonates following term gestations (≥37 weeks' gestation) with MSAF and 40 maternal age-, body mass index- and gravidity-matched controls with clear amniotic fluid were analyzed in this study. Demographic data, delivery outcomes and laboratory evaluations were recorded.

Results: Cord blood pH levels were lower in fetuses with MSAF when compared to those with clear amniotic fluid (P=0.0001). Fetuses with MSAF had higher cord blood erythropoietin levels in comparison to those with clear amniotic fluid (P=0.0001). Delivery outcomes and hepcidin measurements were similar in both groups.

Conclusions: We demonstrated a significant relationship between erythropoietin levels and meconium passage, but failed to show the existence of a relationship between hepcidin levels and meconium passage.

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http://dx.doi.org/10.1111/j.1447-0756.2012.01896.xDOI Listing

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