Lithium placental passage at delivery: an observational study

• Published in: European psychiatry Vol. 65; no. S1; pp. S401 - S402
• Main Authors: Imaz, M.L., Garcia-Esteve, L., Torra, M., Soy, D., Langohr, K., Martin-Santos, R.
• Format: Journal Article
• Language: English
• Published: Paris Cambridge University Press 01-06-2022
• Subjects: Abstract; Delivery; E-Poster Viewing; Lithium; Lithium blood levels; Mother-infant pair; Observational studies; Placental passage; Umbilical cord
• ISSN: 0924-9338; 1778-3585
• DOI: 10.1192/j.eurpsy.2022.1017

Introduction
Lithium is used as a first-line treatment for bipolar disorder during perinatal period. Dosing of lithium can be challenging as a result of pharmacokinetic changes in renal physiology. Frequent monitoring of lithium blood levels during pregnancy is recommended in order remain within the therapeutic window (0.5 to 1.2 mEq/L). Lower neonatal lithium blood level (<0.64 mEq/L) at time of delivery reduces the risk of lithium side effects in the neonate.
Objectives
The aim of the present study was to quantify the rate of lithium placental passage in real word.
Methods
We included a total of 68 mother-infant pairs for which a lithium measurement was performed intrapartum. Lithium serum concentrations were determined by means of an AVL 9180 electrolyte analyzer. The limit of quantification (LoQ) was 0.20 mEq/L and detection limit was 0.10 mEq/L. Pearson analyse was performer to assess the correlation between mother and umbilical cord lithium serum concentrations.
Results
The mean of umbilical cord serum concentration at delivery was 0.57 mEq/L (SD=0.26, range 0,20-1,42). The mean infant-mother lithium ratio at delivery for the 68 pairs was 1.12 (SD=0.24) across a wide range of maternal concentrations (range 0.14-1,40 mEq/L). There was a strong positive correlation between maternal and umbilical cord lithium blood levels (Peearson correlation coefficient 0.948, p<0.001).
Conclusions
Lithium demostrates complete placental passage. This finding is consistent with the results of others studies (Newport 2005; Molenaar 2021).
Disclosure
No significant relationships.