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Eur J Obstet Gynecol Reprod Biol. 2016 Sep;204:69-73. doi: 10.1016/j.ejogrb.2016.07.502. Epub 2016 Aug 3.

Maternal body fluid composition in uncomplicated pregnancies and preeclampsia: a bioelectrical impedance analysis.

Author information

1
Dept. of Obstetrics & Gynaecology, Ziekenhuis Oost Limburg, Genk, Belgium; Dept. of Physiology, Hasselt University, Hasselt, Belgium. Electronic address: anneleen.staelens@gmail.com.
2
Dept. of Obstetrics & Gynaecology, Ziekenhuis Oost Limburg, Genk, Belgium; Dept. of Physiology, Hasselt University, Hasselt, Belgium.
3
I-BioStat, Hasselt University, Hasselt, Belgium; I-BioStat, University of Leuven, Leuven, Belgium.
4
Dept. of Intensive Care, Ziekenhuis Netwerk Antwerpen, ZNA Stuivenberg, Antwerp, Belgium.
5
Dept. of Obstetrics & Gynaecology, Ziekenhuis Oost Limburg, Genk, Belgium; Dept. of Medicine and Life Sciences, Hasselt University, Hasselt, Belgium.

Abstract

OBJECTIVES:

Body fluid composition changes during the course of pregnancy and there is evidence to suggest that these changes are different in uncomplicated pregnancies compared to hypertensive pregnancies. The aim of this study was to evaluate the changes in maternal body fluid composition during the course of an uncomplicated pregnancy and to assess differences in uncomplicated pregnancies versus hypertensive pregnancies by using a bio-impedance analysis technique.

STUDY DESIGN:

Body fluid composition of each patient was assessed using a multiple frequency bioelectrical impedance analyser. Measurements were performed in 276 uncomplicated pregnancies, 34 patients with gestational hypertension, 35 with late onset preeclampsia and 11 with early onset preeclampsia. Statistical analysis was performed at nominal level α=0.05. A longitudinal linear mixed model based analysis was performed for longitudinal evolutions, and ANOVA with a post-hoc Bonferroni was used to identify differences between groups.

RESULTS:

Measurements showed that total body water (TBW), intracellular (ICW) and extracellular water (ECW) and ECW/ICW significantly increase during the course of pregnancy. Late onset preeclampsia is associated with a higher TBW and ECW as compared to uncomplicated pregnancies, the ECW/ICW ratio is higher in preeclamptic patients compared to uncomplicated pregnancies and gestational hypertension, and ICW is not different between groups.

CONCLUSION:

Body fluid composition changes differently during the course of uncomplicated pregnancies versus hypertensive pregnancies.

KEYWORDS:

Bio impedance analysis; Body fluid; Body fluid composition; Preeclampsia; Pregnancy

PMID:
27525683
DOI:
10.1016/j.ejogrb.2016.07.502
[Indexed for MEDLINE]

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