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Journals / Medicine Science / 2017 / Cilt: 6 - Sayı: 3

The role of hyponatremia in preeclampsia

Erdinç SARIDOĞAN
Ayşe KIRBAŞ
Burak ELMAS
Turhan ÇAĞLAR
Pages
592–597
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Maternal outcomes are good but neonatal outcomes are variable

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Preeclampsia associated hyponatraemia is a quite rare condition that cannot be separated from preeclampsia with severe features completely.
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Key Findings & Data:A 31-year-old primigravida was referred to our perinatology clinic at 28 weeks 4 days due to preeclampsia.
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Conclusion & Impact:Maternal outcomes are good but neonatal outcomes are variable
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Preeclampsia associated hyponatraemia is a quite rare condition that cannot be separated from preeclampsia with severe features completely. This condition may be life-threatening for mothers and fetuses and is needed a multidisciplinary management. A 31-year-old primigravida was referred to our perinatology clinic at 28 weeks 4 days due to preeclampsia. She had nephrotic proteinuria and developed hypervolemic, hypoosmolar, chronic, severe hyponatremia. The pregnant was delivered at 29 weeks of gestation because of severe preeclampsia. The baby died in 48 hours postpartum and maternal hyponatremia improved spontaneously within 72 hours. Studies major on vasopressin about hyponatremia-complicated preeclampsia that its pathogenesis and management is still unclear. Studies that note the importance of vasopressin in the pathogenesis of preeclampsia support the theories and highlight the association of vasopressin and hyponatremia. It is known that the definite treatment is delivery. Maternal outcomes are good but neonatal outcomes are variable

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Cite This Article

SARIDOĞAN, E., KIRBAŞ, A., ELMAS, B., ÇAĞLAR, T. (2017). The role of hyponatremia in preeclampsia. Medicine Science, Cilt: 6 - Sayı: 3, 592–597. https://ajindex.com/articles/277407

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References (17)

  1. Steegers EA, von Dadelszen P, Duvekot JJ, Pijnenborg R. Preeclampsia. Lancet. 2010;21(9741):631-44
  2. American College of Obstetricians and Gynecologists; Task Force on Hypertension in Pregnancy. Hypertension in pregnancy. Report of the American College of Obstetricians and Gynecologists’ Task Force on Hypertension in Pregnancy. Obstet Gynecol. 2013;122(5):1122-31
  3. Ravid D, Massarwa LE, Biron-Shental T, Fejgin MD. Hyponatremia and preeclampsia. J Matern Fetal Neonatal Med. 2005;18(1):77-9
  4. Camara-Lemarroy CR, de Leon-Cruz A, Rodriguez-Gutierrez R, Galarza-Delgado DA. Severe hyponatremia associated with preeclampsia. Gynecol Endocrinol. 2013;29(8):801-3
  5. Jhaveri KD, Aelion A, Wanchoo R. Pre-eclampsia presenting as hyponatremia: an uncommon presentation of pre-eclampsia in a twin pregnancy - a case report and review of the literature. Clin Nephrol. 2009;72(6):492-6
  6. Burrell C, de Swiet M. Severe hyponatraemia and pre-eclampsia. BJOG. 2004;111(9):1020-2
  7. Magriples U, Laifer S, Hayslett JP. Dilutional hyponatremia in preeclampsia with and without nephrotic syndrome. Am J Obstet Gynecol. 2001;184(2):231-2
  8. Hayslett JP, Katz DJ, Knudson JM. Dilutional hyponatremia in preeclampsia. Am J Obstet Gynecol. 1998;179(5):1312-6
  9. Linton A, Gale A. Severe hyponatraemia associated with preeclampsia. J Obstet Gynaecol. 2009;29(2):143-4
  10. Carlos R. Camara-Lemarroy, Alejandro de Leon-Cruz, Rene Rodriguez-Gutierrez, and Dionicio A. Galarza-Delgado. Severe hyponatremia associated with pre-eclampsia. Gynecol Endocrinol. 2013;29(8):801-3
  11. Sutton RA, Schonholzer K, Kassen BO. Transient syndrome of inappropriate antidiuretic hormone secretion during pregnancy. Am J Kidney Dis. 1993;21(4):444-5
  12. Ray CD, Shenoy JV, Hare AA. Pre-eclampsia and hyponatraemia. J Obstet Gynaecol. 2006;26(7):695-6
  13. Wilson HJ, Shutt LE. Syndrome of inappropriate ADH secretion in a woman with preeclampsia. Int J Obstet Anesth. 2007;16(4):360-2
  14. Sandhu G, Ramaiyah S, Chan G, Meisels I. Pathophysiology and management of preeclampsia-associated severe hyponatremia. Am J Kidney Dis. 2010;55(3):599-603
  15. Goodlin R, Mostello D. Maternal hyponatremia and the syndrome of hemolysis, elevated liver enzymes, and low platelet count. Am J Obstet Gynecol. 1987;156(4):910-1
  16. Pazhayattil GS, Rastegar A, Brewster UC. Approach to the diagnosis and treatment of hyponatremia in pregnancy. Am J Kidney Dis. 2016;65(4):623-7
  17. Verbalis JG, Goldsmith SR, Greenberg A, Korzelius