Evaluation of Lipid Profile and Hematological Changes Among Pregnant Women with Hypertension in Sebha City, Southern Libya
Main Article Content
Abstract
Disorders of pregnancy-induced hypertensive are a major health problem worldwide and they are one of the leading causes of maternal and perinatal morbidity and mortality. This study aimed to assess alterations in lipid profiles and hematological parameters among pregnant women with gestational hypertension. Conducted at Sebha Medical Center, 105 participants was divided into three groups: normotensive pregnant women, pregnant women with hypertension, and those with gestational hypertension. Complete blood count (CBC), low-density lipoprotein (LDL), high-density lipoprotein (HDL), total cholesterol (TC), and triglycerides (TG) were determined. Findings revealed that TG and LDL levels were elevated in the gestational hypertension group compared to the normotensive group. Moreover, HDL levels were significantly reduced in both the hypertensive and gestational hypertension groups. However, no significant changes in TC levels were observed among study groups. The results also showed changes in the values of mean cell volume (MCV), platelet count (Plt), and lymphocyte count (Lym) among all groups of study. Conversely, there were no significant differences in hemoglobin (Hb), red blood cells (RBC), mean cell hemoglobin (MCH), mean cell hemoglobin concentration (MCHC), white blood cells (WBC), packed cell volume (PCV), and neutrophil count (NEUT). In conclusion, these results suggest that both gestational hypertension and chronic hypertension during pregnancy are associated with dyslipidemia, which was remarkable by increased TG and LDL levels and decreased HDL. Additionally, some hematological alterations may accompanying with hypertensive disorders in pregnancy
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
References
Gallos, I. D., Sivakumar, K., Kilby, M. D., Coomarasamy, A., Thangaratinam, S., & Vatish, M. (2013). Pre-eclampsia is associated with, and preceded by, hypertriglyceridaemia: a meta-analysis. BJOG : an international journal of obstetrics and gynaecology, 120(11), 1321–1332.
Qiu, C., Phung, T. T. T., Vadachkoria, S., Muy-Rivera, M., Sanchez, S. E., & Williams, M. A. (2006). Oxidized low-density lipoprotein (Oxidized LDL) and the risk of preeclampsia. Physiological research, 55(5).
Timalsina, S., Gyawali, P., & Bhattarai, A. (2016). RETRACTED ARTICLE: Comparison of lipid profile parameters and oxidized low-density lipoprotein between normal and preeclamptic pregnancies in a tertiary care hospital in Nepal. International Journal of Women’sHealth, 8, 627–631.
Thathagari, V., & Kumar, V. C. M. (2018). Evaluation of serum lipids in preeclampsia: a comparative study. Int J Reprod Contracept Obstet Gynecol, 7(4), 1372-76.
Agarwal, N., & Odejinmi, F. (2014). Early abdominal ectopic pregnancy: challenges, update and review of current management. Obstetrician & Gynaecologist, 16(3).
Baumfeld, Y., Novack, L., Wiznitzer, A., Sheiner, E., Henkin, Y., Sherf, M., & Novack, V. (2015). Pre-conception dyslipidemia is associated with development of preeclampsia and gestational diabetes mellitus. PloS one, 10(10), e0139164.
Glew, R. H., Bhanji, R. A., Kassam, H. A., Okorodudu, A., & VanderJagt, D. J. (2004). Pregnancy and CVD Risk Factors. Highland Medical Research Journal, 2(2), 1-8.
Yeboah, F. A., Ngala, R. A., Bawah, A. T., Asare-Anane, H., Alidu, H., Hamid, A. W. M., & Wumbee, J. D. K. (2017). Adiposity and hyperleptinemia during the first trimester among pregnant women with preeclampsia. International Journal of Women's Health, 449-454.
Tesfa, E., Nibret, E., Gizaw, S. T., Zenebe, Y., Mekonnen, Z., Assefa, S., & Munshea, A. (2020). Prevalence and determinants of hypertensive disorders of pregnancy in Ethiopia: A systematic review and meta-analysis. PLoS One, 15(9), e0239048.
Rukuni, R., Bhattacharya, S., Murphy, M. F., Roberts, D., Stanworth, S. J., & Knight, M. (2016). Maternal and neonatal outcomes of antenatal anemia in a Scottish population: a retrospective cohort study. Acta obstetricia et gynecologica Scandinavica, 95(5), 555-564.
Zhang, J., Zhuang, G., Zeng, Y., Grifo, J., Acosta, C., Shu, Y., & Liu, H. (2016). Pregnancy derived from human zygote pronuclear transfer in a patient who had arrested embryos after IVF. Reproductive biomedicine online, 33(4), 529-533.
Rahman, M. M., Abe, S. K., Rahman, M. S., Kanda, M., Narita, S., Bilano, V., ... & Shibuya, K. (2016). Maternal anemia and risk of adverse birth and health outcomes in low-and middle-income countries: systematic review and meta-analysis. The American journal of clinical nutrition, 103(2), 495-504.
Sharma, D., Shastri, S., & Sharma, P. (2016). Intrauterine growth restriction: antenatal and postnatal aspects. Clinical medicine insights: pediatrics, 10, CMPed-S40070.
Li, R., Zhang, J. U., Zhou, R., Liu, J., Dai, Z., Liu, D., ... & Zeng, G. (2017). Sleep disturbances during pregnancy are associated with cesarean delivery and preterm birth. The Journal of Maternal-Fetal & Neonatal Medicine, 30(6), 733-738.
Al-Tawil, (2013). Biochemical and hematological profile of normal pregnant women in Gaza Governorate, Gaza strip, The Islamic University-Gaza, Faculty of Science.
Ahmed S (2015). Biochemical Changes in Sudanese Women with pre- eclampsia. Asian Journal of Pharmaceutical Analysis and Medicinal Chemistry 4(1): 1- 7
Praveen T el al (2017) Evaluation of platelet count and its significance in toxemia of pregnancy. International Journal of Medical and Health Research.3: 60-80
Onuigwe, F. U., et al. "Platelet count in women with pregnancy induced hypertension in Sokoto, North Western Nigeria." Research in Obstetrics and Gynecology 3.1 (2015): 1-4
. Alisi PN, Buseri FI, Alisi CS. (2014) Some Blood Cell Changes and Alteration in Renal and Hepatic Function in Pre-eclampsia: A Study in Owerri Nigeria. IBRR; 4; 132-139.
. Mohapatra S, Pradhan BB, Satpathy UK, Mohanty A, Pattnaik JR. (2007) Platelet estimation: its prognostic value in pregnancy induced hypertension. Indian J Physiol Pharmacol; 51 (2) : 160- 164.
. Chaware SA, Dhake R, Ingole AS, Bahattare VN, Bhopale KS.( 2015) Study of Coagulation Profile in Preeclampsia and Eclampsia. International Medical Journal.;2(3):164-70.
B Namavar Jahromi, SH Rafiee. (2009) Coagulation Factors in Severe Preeclampsia. Iranian Red Crescent Medical Journal; 11(3):321-324. [View at Publisher] [Google Scholar
Madazli R, Benian A, Gümüştaş K, Uzun H, Ocak V, Aksu F. (1999) Lipid peroxidation and antoxidants in preeclampsia. European Journal of Obstetrics & Gynecology and Reproductive Biology. 1;85(2):205-8.
Amidu, N., Antuamwine, B. B., Akilla, M. A., Owiredu, W. K. B. A., & Addai-Mensah, O. (2020). Leucocyte differential count and pregnancy induced hypertension: implication for risk and disease assessment.
Anjum R, Zahra N, Rehman K, Alam R, Parveen A, et al. (2013) Comparative analysis of serum lipid profile between normotensive and hypertensive Pakistani pregnant women. J Mol Genet Med