Objective:To evaluate the early pregnancy loss(EPL)rates in women with and without low molecular weight heparin(LMWH)treatment during early pregnancy.Methods:A retrospective,non-randomized study was conducted at Guang...Objective:To evaluate the early pregnancy loss(EPL)rates in women with and without low molecular weight heparin(LMWH)treatment during early pregnancy.Methods:A retrospective,non-randomized study was conducted at Guangzhou Women and Children’s Medical Center between June 2019 and March 2022,involving women diagnosed with polycystic ovary syndrome(PCOS).All participants conceived following standard preconception care and voluntarily chose either the control group or the LMWH intervention group during the first month of pregnancy.The intervention was administered throughout the entire first trimester.Early and final pregnancy outcomes were recorded,with a particular focus on EPL rates.In addition,venous blood samples and clinical data were collected to compare hormonal profiles,blood lipid levels,and anthropometric parameters between the two groups.Statistical analyses included the two-tailed unpaired Student’s t-test,Mann–Whitney U test,Chi-square test,and Kaplan–Meier survival analysis.A value of P<0.050 was considered statistically significant.Results:Thirty-eight women in the LMWH group and 102 women in the control group were included.The EPL rates in the LMWH and control groups were 5.3%(2/38)and 26.5%(27/102),respectively(χ^(2)=7.582,P=0.006,odds ratio(OR)=0.154,95%confidence interval(CI):0.035-0.685).The age(P=0.005),PCOS subtype(P=0.012),and levels of total cholesterol(P=0.003),and high-density lipoprotein(P=0.018)were significantly different between these two groups.Continued follow-up was performed to observe the long-time effects of LMWH treatment in early pregnancy.Seventy-three patients were successfully delivered,23 patients in the LMWH group and 50 patients in the control group.There was no significant difference between the LMWH and control groups in gestation length,bleeding during delivery,birth weight,gender of the newborn,or mode of delivery.In addition,Kaplan-Meier curve analysis revealed that LMWH treatment may decrease the risk of EPL in PCOS patients in the first trimester(χ^(2)=4.144,P=0.040).Conclusion:LMWH treatment during early pregnancy may reduce the EPL rate in women with PCOS.展开更多
基金supported by the Guangzhou Science and Technology Bureau(Grant Nos.2024A03J1175,awarded to Qinsheng Lu,and SL2022A03J01127,awarded to Li Li)the Basic and Applied Basic Research Fund Committee of Guangdong Province(Grant Nos.2023A1515010216,awarded to Li Li,and 2022B1515120074,awarded to Gendie E.Lash).
文摘Objective:To evaluate the early pregnancy loss(EPL)rates in women with and without low molecular weight heparin(LMWH)treatment during early pregnancy.Methods:A retrospective,non-randomized study was conducted at Guangzhou Women and Children’s Medical Center between June 2019 and March 2022,involving women diagnosed with polycystic ovary syndrome(PCOS).All participants conceived following standard preconception care and voluntarily chose either the control group or the LMWH intervention group during the first month of pregnancy.The intervention was administered throughout the entire first trimester.Early and final pregnancy outcomes were recorded,with a particular focus on EPL rates.In addition,venous blood samples and clinical data were collected to compare hormonal profiles,blood lipid levels,and anthropometric parameters between the two groups.Statistical analyses included the two-tailed unpaired Student’s t-test,Mann–Whitney U test,Chi-square test,and Kaplan–Meier survival analysis.A value of P<0.050 was considered statistically significant.Results:Thirty-eight women in the LMWH group and 102 women in the control group were included.The EPL rates in the LMWH and control groups were 5.3%(2/38)and 26.5%(27/102),respectively(χ^(2)=7.582,P=0.006,odds ratio(OR)=0.154,95%confidence interval(CI):0.035-0.685).The age(P=0.005),PCOS subtype(P=0.012),and levels of total cholesterol(P=0.003),and high-density lipoprotein(P=0.018)were significantly different between these two groups.Continued follow-up was performed to observe the long-time effects of LMWH treatment in early pregnancy.Seventy-three patients were successfully delivered,23 patients in the LMWH group and 50 patients in the control group.There was no significant difference between the LMWH and control groups in gestation length,bleeding during delivery,birth weight,gender of the newborn,or mode of delivery.In addition,Kaplan-Meier curve analysis revealed that LMWH treatment may decrease the risk of EPL in PCOS patients in the first trimester(χ^(2)=4.144,P=0.040).Conclusion:LMWH treatment during early pregnancy may reduce the EPL rate in women with PCOS.
