Authors:
Institution
Dr. A.E. Nicoll,University ofGlasgow, Department of Obstetrics Gynaecology, Glasgow Royal Infirmary,Glasgow G31 2ER;United Kingdom.
Title:
Association of reduced selenium status in the aetiology of recurrent miscarriage. (1999 2871)
Source:
British Journal of Obstetrics and Gynaecology. Vol 106(11) (pp188-1191), 1999.
Abstract:
Objective. To determine whether recurrent miscarriage is associated with reduced selenium status. Design. Case-control study. Setting. Department of Obstetrics and Gynaecology,Glasgow Royal Infirmary andGlasgowRoyalMaternityHospital. Population. Twenty nonpregnant women with a history of unexplained recurrent miscarriage, and 47 nonpregnant parous women with a history of at least one successful pregnancy and no more than one miscarriage. Methods. A 7 mL blood sample from each woman was collected into lithium heparin 'vacutainer' tubes. Samples were centrifuged at 3000 g for 15 minutes, and plasma was extracted and stored at -20 [degree] C. Selenium concentrations were measured using a fluorescence spectrophotometer. The selenium concentrations in the two groups were compared and the differences examined using the Student's t test. Main outcome measures. Plasma selenium concentration (mug/L).
Results:
The mean selenium concentration for women with a history of unexplained recurrent miscarriage was 67.7 mug/L (SD 16.4). The selenium level for the women with no history of recurrent miscarriage was 70.3 mug/L (SD 12.7). There was no difference in selenium concentrations between the two groups (P = 0.53). Conclusions. In this study there is no association between unexplained recurrent miscarriage and reduced selenium status, implying that reduced selenium status is not a factor in the pathogenesis of recurrent miscarriage. We can find no rationale for a trial of selenium therapy in women with a history of recurrent miscarriage.
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