Kumar Pratap, Khan Kashif
Department of Obstetrics and Gynecology, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
J Hum Reprod Sci. 2012 May;5(2):166-9. doi: 10.4103/0974-1208.101012.
Use of metformin throughout pregnancy in women with polycystic ovary syndrome (PCOS) has shown to reduce the rates of early pregnancy loss, preterm labor, and prevention of fetal growth restriction. Metformin has been shown to have encouraging effects on several metabolic aspects of polycystic ovarian syndrome, such as insulin sensitivity, plasma glucose concentration and lipid profile and since women with PCOS are more likely than healthy women to suffer from pregnancy-related problems like early pregnancy loss, gestational diabetes mellitus and hypertensive states in pregnancy, the use of metformin therapy in these patients throughout pregnancy may have beneficial effects on early pregnancy loss and development of gestational diabetes.
多囊卵巢综合征(PCOS)女性在整个孕期使用二甲双胍已显示可降低早期流产率、早产率并预防胎儿生长受限。二甲双胍已被证明对多囊卵巢综合征的几个代谢方面有积极作用,如胰岛素敏感性、血糖浓度和血脂谱。由于PCOS女性比健康女性更易出现与妊娠相关的问题,如早期流产、妊娠期糖尿病和妊娠高血压状态,因此这些患者在整个孕期使用二甲双胍治疗可能对早期流产和妊娠期糖尿病的发生有有益影响。