Can protein Z deficiency predict pregnancy outcome?

Document Type : Original Article

Author

Department of Obstetrics and Gynecology, Mansoura University Hospitals, Mansoura, Egypt.

Abstract

Objecive: The objective of this was to determine if preeclampsia (PE), intrauterine growth
restriction “IUGR”; or intra-uterine fetal death “IUFD” are associated with changes in
maternal plasma concentrations of protein Z.
Methods: This is a prospective case control study which comprised of 130 pregnant
women.Theyweredividedinto4groupd:Severepreeclampsiagroup(n=40),unexplained
IUGR group (n=25), Unexplained IUFD group (n=25) and 40 women with normal
pregnancy as a control group. Cross sectional maternal plasma protein Z concentrations
were measured by a sensitive and specific immunoassay.
Results: There was a statistical significant difference regarding protein Z between control
group and complicated pregnancies (p=0.047). Protein Z levels were significantly lower in
severe preeclamptic patients was than that of the other study groups p < 0.0001. However,
there was no significant difference in the maternal plasma protein Z concentration between
patients with unexplained IUGR or intrauterine fetal demise.
Conclusion: Preeclampsia is associated with significantly lower maternal median plasma
concentration of protein Z than normal pregnancy and also a high rate of protein Z
deficiency was observed in patients with IUGR and fetal demise.

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