Why do you need a homocysteine ​​test when planning a pregnancy?

What is homocysteine? It is a sulfur-containing amino acid that is synthesized from methionine. Methionine is not produced in the body and enters it only with protein foods: eggs, dairy products, meat.

Elevated homocysteine ​​is a risk factor in pregnancy. At the end of the first – beginning of the third trimester, the level of this amino acid decreases and returns to normal a few days after childbirth. In a pregnant woman, homocysteine ​​should normally be 4,6-12,4 μmol / L. Permissible fluctuations in different directions – no more than 0,5 μmol / l. A decrease in indicators improves blood flow to the placenta. With increased homocysteine, the risk of intrauterine fetal hypoxia increases, a strong excess of the norm can lead to brain defects and death of the child.

It is necessary to maintain normal homocysteine ​​levels. Regular tests will help to identify a risk group in time and take measures to maintain normal homocysteine.

It can be increased in cases where there are such factors in the history of pregnancy:

– deficiency of folic acid and B vitamins: B6 and B12,

– chronic kidney disease,

– active form of psoriasis,

– arterial or venous thrombosis,

– hereditary factors,

– the use of alcohol, tobacco,

– excessive consumption of coffee (more than 5-6 cups a day),

– hypothyroidism (lack of thyroid hormones),

– diabetes,

– the use of certain medications.

If the analyzes during pregnancy planning showed deviations, it is necessary to undergo a course of treatment with vitamins and adjust your nutritional plan. You should not rely on a lucky chance in this situation: statistics show that every third inhabitant of Russia has a homocysteine ​​level exceeded by more than 50%.

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