Oxidative stress equilibrium during obstetric event in normal pregnancy

J Matern Fetal Neonatal Med. 2017 Aug;30(15):1836-1840. doi: 10.1080/14767058.2016.1228053. Epub 2016 Sep 8.

Abstract

Objective: The aim of this study was to determine malondialdehyde (MDA) concentration as an oxidative stress marker and total antioxidant capacity (TAC) in pregnancy before and after perinatal event.

Methods: This study was performed on 200 healthy full-term pregnant women admitted to pregnancy resolution in Maternal-Child Hospital of Durango, Mexico. Oxidative stress and TAC were assessed through detection of lipid peroxidation by quantitation of thiobarbituric acid-reactive substances (TBARS) and TAC through ferric reducing ability of the plasma (FRAP).

Results: Our results showed increased levels of MDA after vaginal delivery (VD). TAC was also increased after obstetric event, but it did not differ between VD and caesarean section.

Conclusions: We demonstrated that MDA concentrations are increased two hours after obstetric event, and this increase correlates with VD. The TAC was increased as a compensatory mechanism during obstetric event. Another important finding is that women receiving analgesia administration in VD, as well as dexamethasone administration in caesarean section, experienced a protector effect that decreased MDA levels.

Keywords: Delivery event; malondialdehyde; oxidative stress; total antioxidant capacity.

MeSH terms

  • Adult
  • Analgesia, Obstetrical
  • Antioxidants / analysis
  • Biomarkers / blood
  • Cesarean Section
  • Delivery, Obstetric*
  • Dexamethasone / administration & dosage
  • Female
  • Humans
  • Lipid Peroxidation
  • Male
  • Malondialdehyde / blood*
  • Mexico
  • Oxidative Stress / physiology*
  • Pregnancy
  • Pregnancy Outcome
  • Thiobarbituric Acid Reactive Substances / analysis
  • Young Adult

Substances

  • Antioxidants
  • Biomarkers
  • Thiobarbituric Acid Reactive Substances
  • Malondialdehyde
  • Dexamethasone