Association of maternal and neonatal plasma interleukin-6 levels in relation to model of delivery

Mahmoud Imani; S.Hasan Fakhraei; S.Abolfazl Afjeh; Abollah Karimi

Zahedan Journal of Research in Medical Sciences

The Official Journal of Zahedan University of Medical Sciences

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Association of maternal and neonatal plasma interleukin-6 levels in relation to model of delivery

Author(s):

Mahmoud Imani¹,

S.Hasan Fakhraei²,

S.Abolfazl Afjeh³,

Abollah Karimi^4,*

1Associate Professor of Pediatric, Zahedan University of Medical Sciences and Health Services, Zahedan, Iran.

2Professor of Pediatric, Shahid Beheshti University of Medical Sciences and Health Services, Tehran, Iran.

3Assistant Professor of Pediatric, Children's Research Center of Infectious, Shahid Beheshti University of Medical Sciences and Health Services, Tehran, Iran.

4Professor of Pediatric, Children's Research Center of Infectious, Shahid Beheshti University of Medical Sciences and Health Services, Tehran, Iran.

Zahedan Journal of Research in Medical Sciences:Vol. 13, issue 3; e94009

Published online:Apr 13, 2011

Article type:Research Article

Received:Nov 08, 2010

Accepted:Dec 22, 2010

How to Cite:Mahmoud ImaniS.Hasan FakhraeiS.Abolfazl AfjehAbollah KarimiAssociation of maternal and neonatal plasma interleukin-6 levels in relation to model of delivery.Zahedan J Res Med Sci.13(3):e94009.

Abstract

Background: Cytokines play an important role during labor of full – or pretern delivery. In umbilical cord blood, Interleukin-6 (IL-6) was thought to be a marker of defense to stress, surgery and infection. The aim of this study was to investigate the cytokine IL-6 concentrations in the mother and neonate depends on the mode of the delivery.

Materials and Method: This study was done on mothers and neonates in 80 single term deliveries (vaginal and cesarean) in Mahdieh Hospital in Tehran. Age of mothers was 21-39 years old, parity was 1 and 2. There wasn't history of underlying disease and drug usage in mothers and neonate was AGA and apgar was more than 8. There wasn't clinical evidence of infection in neonate and mothers. IL-6 was evaluated by enzyme-immunoassays in maternal serum and neonatal umbilical cord. Data were analyzed with SPSS and were applied fishers exact test for compare means.

Results: There were 37 vaginal deliveries and 43cesarean section. The mean (±standard error) of maternal IL-6 concentration in vaginal delivery (0.18±0.02) was significantly (P=0.000) higher than cesarean section (0.1±0.02) and neonatal IL-6 concentration in vaginal delivery (0.17±0.03) was significantly (P=0.000) higher than cesarean section (0.07±0.01).

Conclusion: Results show that vaginal delivery cause to increase IL-6 compared to cesarean section in mother and neonate.

Keywords

Interleukin-6

cesarean

vaginal delivery

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