Author(s)

L. KOVALCHUK, A. TARKHANOVA & A.TARKHANOV

Abstract

Ecological conditions in the Urals are unfavorable. In the Sverdlovsk region, every second pregnancy and in Yekaterinburg every third pregnancy burdened of obstetric and gynecologic pathology. It makes us pay a special attention to the reasons of the increased perinatal morbidity and mortality. The aim of the research was to estimate the levels of macro and trace elements: Fe, Ca, Mn, Cu, Zn, Cd, Pb, Cr, Ni of 156 pregnant women and their newborn babies inhabiting an industrial city, where the environment is polluted with heavy metal compounds. It was found that the women had low indices of ecological valency, pregnancy complication and break of reproductive functions (hestoses, anemia, threat pregnancy interruption). Inspection of cases revealed chronic hypoxia (81.2%), Fe-deficiency anemia (50.4%), gestosis (29.9%), extragenital diseases of infectious inflammatory character (65%), chronic pyelonephritis (18.8%), hypertension (13.7%). All inspected women (megacity) had higher levels of trace elements: Cu, Zn, Cd, Pb, Cr, Ni in the placenta tissue (p < 0.05) and the defi ciency of the essential elements Mn, Mg and Fe (p < 0.01). Higher levels of Cu, Cd, Pb were observed in the blood serum. The newborn babies had higher levels of Cu and Pb in the blood serum. Direct correlations were marked between Cd in the megacity environment and in placenta of pregnant women (R = 0.86, p = 0.041). Average correlation was marked between Pb in the megacity environment and placenta of pregnant women (R = 0.34; p = 0.038). A strong reverse correlation was observed between heavy metals in the city environment (Cu, Zn, Pb) and body mass of newborn (R = –0.98; R = –0.98; R = –0.80 respectively, p = 0.034). Reverse correlation was marked between Cd and the fetal growth (R = –0.79; p = 0.037). We marked absence of significant distinctions between the basic and the control group in Cd levels in the blood of healthy newborn babies (0.003 ± 0.001 and 0.002 ± 0.001 mkg/mL, respectively). This evidenced about active barrier function of placenta of healthy women. Significant quantities of Pb were marked in the blood serum of newborn. Barrier function of placenta for Pb was not noted. The placenta passes Cu and Zn to the blood of newborn. The combined effect of macro- and microelements through the system mother–placenta–newborn is unfavorable for the fetus. Pregnant women (megacity) – a group of high risk by the prenatal development (intra-uterine hypoxia and the fetal growth restriction) – and their newborn babies were at risk of developing pathologies provoked by the tran splacental ability of toxic elements.

Keywords

Blood serum, macro- and microelements replaceable, newborn, placenta, pregnant women, trace elements.