Comparative Study Of Stress Marker (CORTISOL) Levels in Preeclamptic Pregnant Women in the Third Trimester Of Pregnancy

Authors

  • Edebiri O.E Universitas Ambrose Alli
  • Akpe C. I Universitas Benin
  • Adewole A.S Universitas Ilmu Kedokteran
  • Obiesi C. N Universitas Federal David Umahi
  • Okike P.I Universitas Negeri Ebonyi
  • Orunta E.D Universitas Negeri Imo
  • Ohiwerei W.O Pusat Diagnostik dan Pelatihan Penelitian Global Ohilux

DOI:

https://doi.org/10.70062/globalhealth.v2i1.144

Keywords:

Cortisol, Normotensive, Preeclampsia, Pregnant women

Abstract

At present, little is known in Nigeria and globally about the association between stress and cortisol secretion in normotensive and preeclamptic pregnant women. Preeclampsia is a pregnancy complication that involves high blood pressure and organ damage, and it has been associated with various physiological alterations. This study aims to determine the comparative levels of cortisol, a stress marker, in preeclamptic pregnant women in the third trimester of pregnancy. Cortisol levels are known to fluctuate in response to stress, and altered levels may indicate an underlying pathophysiological process. Forty (40) consenting pregnant women were recruited from St. Philomina Catholic Hospital, Edo State, Nigeria. Blood samples were collected and spun in a bucket centrifuge at 2500 RPM (rounds per minute) for 10 minutes. The plasma was stored frozen in plain sample bottles and analyzed for cortisol levels using the enzyme-linked immunosorbent assay (ELISA) method. The data obtained were analyzed using GraphPad Prism 9 software. Results were expressed as mean ± SEM, and a P-value of ≤ 0.05 was considered statistically significant. The study found that cortisol levels significantly increased from 226.4 ± 36.53 nmol/L in normotensive women to 370.7 ± 36.47 nmol/L in preeclamptic women (p<0.05, <0.0081). This increase was statistically significant, suggesting that elevated cortisol levels in preeclamptic women may be linked to stress and potentially to oxidative stress cascade activation. These findings contribute to the understanding of stress-related physiological changes in preeclampsia and may offer insights for future diagnostic or therapeutic approaches.

References

Afrose, D., Chen, H., Ranashinghe, A., Liu, C. C., Henessy, A., Hansbro, P. M., & McClements, L. (2022). The diagnostic potential of oxidative stress biomarkers for preeclampsia: Systematic review and meta-analysis. Biology of Sex Differences, 13(1), 26. https://doi.org/10.1186/s13293-022-00462-9

Armaly, Z., Jadaon, J. E., Jabbour, A., & Abassi, Z. A. (2018). Preeclampsia: Novel mechanisms and potential therapeutic approaches. Frontiers in Physiology, 9, 973. https://doi.org/10.3389/fphys.2018.00973

Asmanidar, A., & Emilda, E. (2024). Optimizing maternal healthcare: Holistic strategies for early detection and management of preeclampsia. Science Midwifery, 12(1), 158-167.

Duley, L. (2009, June). The global impact of pre-eclampsia and eclampsia. In Seminars in Perinatology (Vol. 33, No. 3, pp. 130-137). WB Saunders. https://doi.org/10.1053/j.semperi.2009.02.003

Ganeza, I. (2023). Differences in average serum cortisol levels and serum 25 hydroxyvitamin D levels in preeclampsia and normal pregnancy. Asian Journal of Healthy and Science, 2(6), 262-278.

Jayasuriya, N. A., Hughes, A. E., Sovio, U., Cook, E., Charnock-Jones, D. S., & Smith, G. C. (2019). A lower maternal cortisol-to-cortisone ratio precedes clinical diagnosis of preterm and term preeclampsia by many weeks. The Journal of Clinical Endocrinology & Metabolism, 104(6), 2355-2366. https://doi.org/10.1210/jc.2018-02319

Maguire, C., Ueland, P. M., Tell, G. S., Seghieri, G., Ness, R. B., Saugstad, O. D. (2015). Maternal circulating cortisol and risk of preeclampsia: Evidence for an interaction with stress-related disorders. Hypertension in Pregnancy, 34(3), 320-328. https://doi.org/10.3109/10641955.2015.1016457

Mastorakos, G., & Ilias, I. (2003). Maternal and fetal hypothalamic-pituitary-adrenal axes during pregnancy and postpartum. Annals of the New York Academy of Sciences, 997, 136-149. https://doi.org/10.1196/annals.1293.016

Pasupathy, D., Smith, G. C., Nelson-Piercy, C., White, I. R., Harding, K., & Campbell, D. (2013). Maternal salivary cortisol as a biomarker of hypertensive disorders in pregnancy: A systematic review. Hypertension, 62(6), 1168-1175. https://doi.org/10.1161/HYPERTENSIONAHA.113.01725

Reynolds, R. M., Labad, J., Buss, C., Ghaemmaghami, P., Räikkönen, K. (2013). Transmitting biological effects of stress in utero: Implications for mother and offspring. Psychoneuroendocrinology, 38(9), 1843-1849. https://doi.org/10.1016/j.psyneuen.2013.01.008

Seckl, J. R., & Holmes, M. C. (2007). Mechanisms of disease: Glucocorticoids, their placental metabolism, and fetal programming of adult pathophysiology. Nature Clinical Practice Endocrinology & Metabolism, 3(6), 479-488. https://doi.org/10.1038/ncpendmet0513

Smith, R., & Nicholson, R. C. (2017). Cortisol and preeclampsia. Journal of Clinical Endocrinology and Metabolism, 102(11), 3848-3856. https://doi.org/10.1210/jc.2017-01483

Vianna, P., Bauer, M. E., Dornfeld, D., & Chies, J. A. B. (2011). Distress conditions during pregnancy may lead to pre-eclampsia by increasing cortisol levels and altering lymphocyte sensitivity to glucocorticoids. Medical Hypotheses, 77(2), 188-191. https://doi.org/10.1016/j.mehy.2011.03.017

Downloads

Published

2025-03-08

How to Cite

Edebiri O.E, Akpe C. I, Adewole A.S, Obiesi C. N, Okike P.I, Orunta E.D, & Ohiwerei W.O. (2025). Comparative Study Of Stress Marker (CORTISOL) Levels in Preeclamptic Pregnant Women in the Third Trimester Of Pregnancy. Global Health: Journal of Health Sciences, Public Health and Pharmacy, 2(1), 11–20. https://doi.org/10.70062/globalhealth.v2i1.144