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384466

Safety And Efficacy of Vitamin C And E in Preventing Preeclampsia in High-Risk Pregnant Women: A Randomized, Controlled Study

Article

Last updated: 24 Dec 2024

Subjects

-

Tags

Forensic medicine and clinical toxicology.

Abstract

With an impact on 2% to 7% of pregnancies, preeclampsia is a major contributor to maternal and neonatal death. This study examines the potential advantages of vitamin E and C supplements for high-risk expectant women in order to mitigate the risk of preeclampsia.
Methods:
This double-arm randomized controlled trial comprised two groups: 588 primigravida women at 18-22 weeks gestation with aberrant uterine artery Doppler readings (84 of whom were identified as high-risk) and the preeclampsia history of fifty women or related conditions. Vitamins C and E, or a placebo, were given to one hundred volunteers at random. Doppler scans and levels of plasminogen activator inhibitors 1 and 2 were used to track their progress throughout the pregnancy (PAI-2).patient's preeclampsia history
Results:
Preeclamptic women exhibited significantly higher PAI-1 levels than normotensive women (165 ± 72.9 vs. 110.9 ± 37.7, P = 0.03), whereas PAI-2 levels were substantially lower (104 ± 33.8 vs. 180.7 ± 66.8, P = 0.018). The intervention group had a preeclampsia prevalence of 8%, opposite of what happened in the control group because they a prevalence of 24% (P = 0.123). The occurrence of gestational hypertension (18% vs. 12%, P = 0.713) and blood pressure values between the groups were not significantly different.
Conclusion:
Taking preeclampsia prevention vitamins C and E did not lower the likelihood of the condition in high-risk pregnant women.. In order to investigate the potential benefits or limitations of antioxidants in the prevention of preeclampsia, it is imperative to conduct larger, multicentre trials.

DOI

10.21608/muj.2024.321344.1187

Keywords

preeclampsia, vitamin c, Vitamin E, PAI-1, PAI-2

Authors

First Name

Mohamed

Last Name

Hemeda

MiddleName

s

Affiliation

Department of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Port Said University, Port Said, Egypt

Email

mohamudsadawy@med.psu.edu.eg

City

elohosinia

Orcid

0009-0005-2721-5591

First Name

Heba

Last Name

Youssef

MiddleName

-

Affiliation

Department of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Port Said University, Port Said, Egypt

Email

heba.mohamed@med.psu.edu.eg

City

-

Orcid

-

First Name

Abdel Rahman Z.

Last Name

Abdel Rahman

MiddleName

-

Affiliation

Department of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Al-Azher University, Asyut, Egypt.

Email

abdelrahmanz@gmail.com

City

-

Orcid

-

First Name

Hatem Ali Ahmed

Last Name

Abdelmottaleb

MiddleName

-

Affiliation

Department of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Al-Azher University, Asyut, Egypt.

Email

hatemaliahmed@gmail.com

City

-

Orcid

-

First Name

Mohamed Anwar

Last Name

Mohamed

MiddleName

-

Affiliation

Department of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Al-Azher University, Asyut, Egypt.

Email

mohamedanwar@gmail.com

City

-

Orcid

-

First Name

Mona Ibrahim

Last Name

Elyamany

MiddleName

-

Affiliation

Department of Forensic Medicine and Clinical Toxicology, Damietta University, Damietta, Egypt.

Email

monaelyamany@gmail.com

City

-

Orcid

-

First Name

Ibrahim

Last Name

Reyad

MiddleName

Arafa

Affiliation

Obstetric and genecology department Faculty of medicine Port said university

Email

ibrahimarafa@med.psu.edu.eg

City

01006822679

Orcid

-

Volume

20

Article Issue

20

Related Issue

52075

Issue Date

2025-01-01

Receive Date

2024-09-16

Publish Date

2025-01-01

Page Start

73

Page End

86

Online ISSN

2682-2741

Link

https://muj.journals.ekb.eg/article_384466.html

Detail API

https://muj.journals.ekb.eg/service?article_code=384466

Order

384,466

Type

Original Article

Type Code

946

Publication Type

Journal

Publication Title

Medicine Updates

Publication Link

https://muj.journals.ekb.eg/

MainTitle

Safety And Efficacy of Vitamin C And E in Preventing Preeclampsia in High-Risk Pregnant Women: A Randomized, Controlled Study

Details

Type

Article

Created At

24 Dec 2024