COMPARISON OF MEAN PLATELET VOLUME AND SERUM BILE ACID LEVELS IN INTRAHEPATIC CHOLESTASIS OF PREGNANCY

Abstract

SUMMARY Objective: The aim of this study was to investigate the relationship between serum bile acid levels (SBA) and mean platelet volume (MPV), a proinflammatory marker and to detect the role of MPV as a marker of fetal well-being in patients with intrahepatic cholestasis of pregnancy (ICP). Material and methods: We compared the biochemical parameters of pregnants with ICP and the control group retrospectively. Results: Pregnants with ICP had statistically significantly higher alanine aminotransferase (ALT), aspartate aminotransferase (AST) and fasting SBA levels and the gestational week at delivery was higher in the control group (p 0.05). Mean gestational week at delivery was statistically significantly lower in pregnants with ICP when compared to the control group (37.95 ± 0.92 weeks and 37.25 ± 1.25 weeks, p < 0.05 respectively). Conclusions: There was no relationship between MPV and biochemical parameters used to define ICP. But the rate of preterm delivery increased as SBA levels increased.