Plasma aldosterone concentration at delivery and during the newborn period

J Clin Invest. 1972 Feb;51(2):386-94. doi: 10.1172/JCI106824.

Abstract

Aldosterone concentrations in plasma of women on normal sodium intake undergoing cesarean section were 3.7+/-1.4 ng/100 ml (mean+/-1 SD). These values were significantly lower (P < 0.001) than those observed in mothers on normal sodium diet, delivered by the vaginal route (14.9+/-7.0 ng/100 ml). A significant elevation (P < 0.001) of the concentrations was found if the mothers had been on sodium restriction and/or diuretics (44.9+/-24.2 ng/100 ml). In supine position, adult nonpregnant subjects have aldosterone concentrations in plasma of 1.7+/-1.4 ng/100 ml on normal sodium intake and of 16.7+/-8.1 ng/100 ml on low sodium diet.Simultaneous determinations of aldosterone levels in cord blood showed that cord values were significantly higher than those of the corresponding mother (P < 0.01 by paired t test). However, values in cord blood of infants born to mothers on a normal sodium intake were significantly lower (P < 0.005) than those of infants whose mothers had required low sodium diet and/or diuretics during their pregnancy. Aldosterone concentrations in plasma of infants 1-72 hr of age and born to mothers on normal sodium intake were 25.9+/-11.7 ng/100 ml (mean +/-1 SD). These values were significantly lower (P < 0.005) than those of infants born to mothers on restricted sodium intake with or without diuretics (80.3+/-54.4 ng/100 ml). The concentrations at birth were not significantly different from those observed during the first 3 days of life (P > 0.6).

MeSH terms

  • Adolescent
  • Adrenal Glands / metabolism
  • Adult
  • Aldosterone / blood*
  • Aldosterone / metabolism
  • Delivery, Obstetric
  • Diet
  • Diet, Sodium-Restricted
  • Diuretics / therapeutic use
  • Female
  • Humans
  • Infant, Newborn*
  • Kidney / metabolism
  • Postpartum Period
  • Pregnancy*
  • Radioimmunoassay
  • Renin / metabolism
  • Sodium / metabolism
  • Umbilical Cord

Substances

  • Diuretics
  • Aldosterone
  • Sodium
  • Renin