Objective: To determine the changes in plasma levels of lipid peroxide, vit
amin E and vitamin C in women with preeclampsia and to investigate their re
lationship with diastolic blood pressure. Study Design: Cross sectional stu
dy consisting of 22 preeclamptic and 21 healthy pregnant women. Fasting ven
ous blood samples were collected during the antepartum period and plasma le
vels of malondialdehyde, alpha-tocopherol and ascorbic acid were measured.
Results: In the preeclamptic group malondialdehyde, a lipid peroxidation pr
oduct, was significantly increased, while vitamins E and C were significant
ly decreased compared to healthy pregnant women. A strong correlation was d
etected between malondialdehyde and antioxidant factors (vitamins E and C)
with blood pressure. Conclusion: Our findings are consistent with previous
studies suggesting that lipid peroxidation is an important factor in the pa
thogenesis of preeclampsia. In preeclampsia, antioxidant nutrients are exce
ssively utilised to counteract the cellular changes mediated by free radica
ls. (C) 1999 Elsevier Science Ireland Ltd. All rights reserved.