Bile Acid Determination after Standardized Glucose Load in Pregnant Women

Autor: Virginia R. Lupo, April D. Adams, Rachel Isaksson Vogel, Katherine Jacobs
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: AJP Reports
American Journal of Perinatology Reports, Vol 05, Iss 02, Pp e168-e171 (2015)
ISSN: 2157-7005
2157-6998
Popis: Objective Intrahepatic cholestasis of pregnancy (ICP) is a rare liver disorder, usually manifesting in the third trimester and associated with increased perinatal morbidity and mortality. The hallmark laboratory abnormality in ICP is elevated fasting serum bile acids; however, there are limited data on whether a nonfasting state affects a pregnant woman's total bile acids. This study assesses fasting and nonfasting bile acid levels in 10 healthy pregnant women after a standardized glucose load to provide insight into the effects of a glucose load on bile acid profiles. Study Design Pilot prospective cohort analysis of serum bile acids in pregnant women. A total of 10 healthy pregnant women from 28 to 32 weeks' gestation were recruited for the study before undergoing a glucose tolerance test. Total serum bile acids were collected for each subject in the overnight fasting state, and 1 and 3 hours after the 100-g glucose load. Results There was a statistically significant difference between fasting versus 3-hour values. There was no statistically significant difference between fasting versus 1-hour and 1-hour versus 3-hour values. Conclusion There is a difference between fasting and nonfasting total serum bile acids after a 100-g glucose load in healthy pregnant women.
Databáze: OpenAIRE