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评估孕期补充铜对胎膜早破及妊娠结局的影响。

Evaluating the effects of copper supplement during pregnancy on premature rupture of membranes and pregnancy outcome.

作者信息

Kashanian Maryam, Hadizadeh Hasti, Faghankhani Masoomeh, Nazemi Mitra, Sheikhansari Narges

机构信息

a Department of Obstetrics & Gynecology, Akbarabadi Teaching Hospital , Iran University of Medical Sciences , Tehran , Iran.

b Medical Student Research Committee (MSRC), Faculty of Medicine, Iran University of Medical Sciences , Tehran , Iran.

出版信息

J Matern Fetal Neonatal Med. 2018 Jan;31(1):39-46. doi: 10.1080/14767058.2016.1274299. Epub 2017 Jan 18.

Abstract

OBJECTIVE

To evaluate the effects of copper (Cu) supplementation during pregnancy on the rupture of membranes and pregnancy outcomes.

METHODS

Study was conducted as a triple-blind randomized clinical trial. In one group, Cu in a dose of 1000 mg per day, and in the other group, placebo was prescribed orally from 16th week of pregnancy.

RESULTS

The women of the two groups did not have significant difference according to age, gestational age at recruitment, BMI, and socioeconomic conditions. There was no statistically significant difference between case and control group regarding the incidence of PPROM, PROM, preterm labor, vaginal bleeding during pregnancy, preeclampsia, and the incidence of placenta abruption. There was a 75% and 90% decrease in depressive symptoms in 2nd trimester and 3rd trimester in supplemented group, respectively. Also, there was a 45% and 80% decrease in anxiety symptoms in 2nd trimester and 3rd trimester in the supplemented group, respectively The rate of infection during pregnancy was significantly higher in control group (p = 0.046). There was no difference between the two groups according to neonatal outcomes.

CONCLUSIONS

Cu supplementation during pregnancy could not influence positively on ROM; however, it could improve some mood status of the women.

摘要

目的

评估孕期补充铜(Cu)对胎膜破裂及妊娠结局的影响。

方法

本研究为三盲随机临床试验。一组每天口服1000毫克铜,另一组从妊娠第16周起口服安慰剂。

结果

两组女性在年龄、入组时的孕周、体重指数和社会经济状况方面无显著差异。病例组和对照组在未足月胎膜早破、胎膜早破、早产、孕期阴道出血、先兆子痫及胎盘早剥的发生率上无统计学显著差异。补充组在孕中期和孕晚期的抑郁症状分别降低了75%和90%。此外,补充组在孕中期和孕晚期的焦虑症状分别降低了45%和80%。对照组孕期感染率显著更高(p = 0.046)。两组新生儿结局无差异。

结论

孕期补充铜对胎膜破裂无积极影响;然而,它可改善女性的一些情绪状态。

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