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September 4, 2026The Journal of Maternal-Fetal & Neonatal MedicineOpen Access

Predictive value of homocysteine and blood lipid levels in late pregnancy for neonatal outcomes in women with hypertensive disorders of pregnancy

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Authors

ZPZhiyu PanCLC LiuJHJinlan He

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Overview

Retrospective study finds late-pregnancy homocysteine and lipid levels predict adverse neonatal outcomes in hypertensive pregnancies, suggesting combined biomarker panels improve risk assessment.

Key Points

  • To evaluate the correlation between late-pregnancy homocysteine and blood lipid profiles and disease severity in hypertensive disorders of pregnancy, and to determine their predictive value for adverse neonatal outcomes.
  • Retrospectively analyzed clinical characteristics and laboratory parameters in N=156 patients with hypertensive disorders of pregnancy (61 with gestational hypertension and 95 with preeclampsia).
  • Measured late-pregnancy levels of homocysteine and lipid panel components, including total cholesterol, triglycerides, low-density lipoprotein cholesterol, and high-density lipoprotein cholesterol.
  • Identified risk factors for adverse neonatal outcomes using logistic regression and subgroup analyses, and evaluated predictive accuracy using receiver operating characteristic (ROC) curves.
  • Patients with preeclampsia exhibited significantly higher homocysteine, total cholesterol, and triglyceride levels compared to those with gestational hypertension, with all three independently associated with preeclampsia status.
  • Higher maternal homocysteine and triglyceride levels alongside reduced high-density lipoprotein cholesterol levels in late pregnancy were significantly linked to an elevated risk of adverse neonatal outcomes.
  • A combined panel of homocysteine, triglycerides, and high-density lipoprotein cholesterol demonstrated superior predictive performance for adverse neonatal outcomes compared with individual biomarkers (area under the ROC curve = 0.874, 95% CI: 0.812–0.922).

Cite This Study

Pan et al. (2026) studied this question.

synapsesocial.com/papers/6a9a85b05d9e33f25c631102https://doi.org/10.1080/14767058.2026.2675763
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