Gholami Nazanin, Abotorabi Shokoh, Lalooha Fatemeh, Oveisi Sonia
Department of Obstetrics and Gynecology, Qazvin University of Medical Sciences, Qazvin, Iran.
Department of Obstetrics and Gynecology, Clinical Research Development Unit, Kosar Hospital, Qazvin University of Medical Sciences, Qazvin, Iran.
Iran J Pharm Res. 2020 Summer;19(3):241-247. doi: 10.22037/ijpr.2019.13976.12041.
The hypothesis of a protective effect of fish oil supplementation in preventing some consequences of pregnancy such as gestational hypertension is put forward which has attracted increasing attention. The aim of the present study was to evaluate the effect of fish oil supplementation on outcomes of pregnancy. This study was a clinical trial performed on 339 women with singleton pregnancy aged 18-35 and gestational age of 20 weeks who visited prenatal clinic at Kosar Hospital in Qazvin during 2015-2016. Patients were randomly divided into two groups marked as intervention group which received soft gelatin capsules (each containing 1000 mg fish oil including 120 mg DHA and 180 mg EPA) on a daily basis from the 20 week to the end of pregnancy, and the women in the control group with no fish oil intake. The outcomes of pregnancy including preeclampsia, eclampsia, preterm labor, gestational diabetes, weight, height, head circumference at birth and the gestational age at delivery were evaluated in both groups. Data were analyzed using statistical tests including Mann-Whitney U test and -test. There was significant difference in gestational age between the two study groups ( < 0.05). There was no significant difference in the percentage of preterm birth, preeclampsia, eclampsia, IUGR, and GDM between the two groups ( > 0.05). The results of this study showed that consumption of fish oil supplements from 20 week of gestation by 18-35 year-old pregnant women increased pregnancy age but failed to decrease the percentage of preterm birth, preeclampsia, eclampsia, IUGR, and GDM.
有人提出补充鱼油对预防妊娠相关后果(如妊娠期高血压)具有保护作用的假说,这一假说已引起越来越多的关注。本研究的目的是评估补充鱼油对妊娠结局的影响。本研究是一项临床试验,对2015年至2016年期间在加兹温市科索医院产前诊所就诊的339名单胎妊娠、年龄在18 - 35岁且孕周为20周的女性进行。患者被随机分为两组,干预组从孕20周开始至妊娠结束每天服用软胶囊(每粒含1000毫克鱼油,其中包括120毫克DHA和180毫克EPA),对照组女性不摄入鱼油。对两组的妊娠结局进行评估,包括子痫前期、子痫、早产、妊娠期糖尿病、体重、身高、出生时头围以及分娩时的孕周。使用包括曼 - 惠特尼U检验和t检验在内的统计检验对数据进行分析。两个研究组之间的孕周存在显著差异(P < 0.05)。两组之间早产、子痫前期、子痫、胎儿生长受限和妊娠期糖尿病的发生率没有显著差异(P > 0.05)。本研究结果表明,18 - 35岁的孕妇从孕20周开始服用鱼油补充剂可增加孕周,但未能降低早产、子痫前期、子痫、胎儿生长受限和妊娠期糖尿病的发生率。