The effect of vitamin E and aspirin on the uterine artery blood flow in women with recurrent abortion: A single-blind randomized controlled trial

Background: Recurrent spontaneous abortion has high incidence rate. The etiology is unknown in 30-40%. However high uterine artery resistance is accounted as one of the recurrent abortion reasons. Objective: The objective of the current study was to determine the impacts of vitamin E and aspirin on...

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Main Authors: Elaheh Mesdaghinia, Behnaz Mohammad-Ebrahimi, Fatemeh Foroozanfard, Hamid Reza Banafshe
Format: Article
Language:English
Published: Shahid Sadoughi University of Medical Sciences 2017-12-01
Series:International Journal of Reproductive BioMedicine
Subjects:
Online Access:http://journals.ssu.ac.ir/ijrmnew/browse.php?a_code=A-10-1-286&slc_lang=en&sid=1
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author Elaheh Mesdaghinia
Behnaz Mohammad-Ebrahimi
Fatemeh Foroozanfard
Hamid Reza Banafshe
author_facet Elaheh Mesdaghinia
Behnaz Mohammad-Ebrahimi
Fatemeh Foroozanfard
Hamid Reza Banafshe
author_sort Elaheh Mesdaghinia
collection DOAJ
description Background: Recurrent spontaneous abortion has high incidence rate. The etiology is unknown in 30-40%. However high uterine artery resistance is accounted as one of the recurrent abortion reasons. Objective: The objective of the current study was to determine the impacts of vitamin E and aspirin on the uterine artery blood flow in women having recurrent abortions due to impaired uterine blood flow. Materials and Methods: This randomized clinical trial was conducted on 99 women having uterine pulsatility index (PI) more than 2.5 and the history of more than two times abortions. The candidates were categorized into three groups; receiving aspirin, only vitamin E, and aspirin+vitamin E. After 2 months, uterine PIs were compared with each other. Results: All drug regimens caused an enhancement in uterine perfusion with a significant decline in uterine artery PI value. The women receiving vitamin E in accompanied with aspirin had the least mean PI of the uterine artery (p<0.001). The total average PI score of the right and left uterine arteries in groups receiving vitamin E in accompanied with aspirin was lower than the two counterparts significantly (p<0.001). Conclusion: Vitamin E, aspirin and especially their combination are effective in improving uterine artery blood flow in women with recurrent abortion due to impaired uterine blood flow. More well-designed studies are needed to find out whether the enhancement of uterine perfusion may lead to a better pregnancy outcome.
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spelling doaj.art-d9405cec19bd4ff38d56b69375b46bfa2022-12-22T01:16:39ZengShahid Sadoughi University of Medical SciencesInternational Journal of Reproductive BioMedicine2476-41082476-37722017-12-011510635640The effect of vitamin E and aspirin on the uterine artery blood flow in women with recurrent abortion: A single-blind randomized controlled trialElaheh Mesdaghinia0Behnaz Mohammad-Ebrahimi1Fatemeh Foroozanfard2Hamid Reza Banafshe3 Department of Obstetrics and Gynecology, Kashan University of Medical Sciences, Kashan, Iran Department of Obstetrics and Gynecology, Kashan University of Medical Sciences, Kashan, Iran Department of Obstetrics and Gynecology, Kashan University of Medical Sciences, Kashan, Iran. Physiology Research Center, Kashan University of Medical Sciences, Kashan, Iran Background: Recurrent spontaneous abortion has high incidence rate. The etiology is unknown in 30-40%. However high uterine artery resistance is accounted as one of the recurrent abortion reasons. Objective: The objective of the current study was to determine the impacts of vitamin E and aspirin on the uterine artery blood flow in women having recurrent abortions due to impaired uterine blood flow. Materials and Methods: This randomized clinical trial was conducted on 99 women having uterine pulsatility index (PI) more than 2.5 and the history of more than two times abortions. The candidates were categorized into three groups; receiving aspirin, only vitamin E, and aspirin+vitamin E. After 2 months, uterine PIs were compared with each other. Results: All drug regimens caused an enhancement in uterine perfusion with a significant decline in uterine artery PI value. The women receiving vitamin E in accompanied with aspirin had the least mean PI of the uterine artery (p<0.001). The total average PI score of the right and left uterine arteries in groups receiving vitamin E in accompanied with aspirin was lower than the two counterparts significantly (p<0.001). Conclusion: Vitamin E, aspirin and especially their combination are effective in improving uterine artery blood flow in women with recurrent abortion due to impaired uterine blood flow. More well-designed studies are needed to find out whether the enhancement of uterine perfusion may lead to a better pregnancy outcome.http://journals.ssu.ac.ir/ijrmnew/browse.php?a_code=A-10-1-286&slc_lang=en&sid=1Recurrent abortion Aspirin Vitamin E Pulsatility index
spellingShingle Elaheh Mesdaghinia
Behnaz Mohammad-Ebrahimi
Fatemeh Foroozanfard
Hamid Reza Banafshe
The effect of vitamin E and aspirin on the uterine artery blood flow in women with recurrent abortion: A single-blind randomized controlled trial
International Journal of Reproductive BioMedicine
Recurrent abortion
Aspirin
Vitamin E
Pulsatility index
title The effect of vitamin E and aspirin on the uterine artery blood flow in women with recurrent abortion: A single-blind randomized controlled trial
title_full The effect of vitamin E and aspirin on the uterine artery blood flow in women with recurrent abortion: A single-blind randomized controlled trial
title_fullStr The effect of vitamin E and aspirin on the uterine artery blood flow in women with recurrent abortion: A single-blind randomized controlled trial
title_full_unstemmed The effect of vitamin E and aspirin on the uterine artery blood flow in women with recurrent abortion: A single-blind randomized controlled trial
title_short The effect of vitamin E and aspirin on the uterine artery blood flow in women with recurrent abortion: A single-blind randomized controlled trial
title_sort effect of vitamin e and aspirin on the uterine artery blood flow in women with recurrent abortion a single blind randomized controlled trial
topic Recurrent abortion
Aspirin
Vitamin E
Pulsatility index
url http://journals.ssu.ac.ir/ijrmnew/browse.php?a_code=A-10-1-286&slc_lang=en&sid=1
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