Document Detail


Effect of preconceptional metformin on abortion risk in polycystic ovary syndrome: a systematic review and meta-analysis of randomized controlled trials.
MedLine Citation:
PMID:  18937939     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the effect of pregestational metformin administration on abortion risk in polycystic ovary syndrome (PCOS) patients. DESIGN: Systematic review and meta-analysis. SETTING: Academic Department of Obstetrics and Gynecology in Italy. PATIENT(S): Women affected by PCOS receiving pregestational metformin. INTERVENTION(S): Systematic review of randomized controlled trials (RCTs) published up to June 2008 and subsequent meta-analysis. MAIN OUTCOME MEASURE(S): Abortion rate. RESULT(S): Seventeen RCTs were included in the final analysis. Overall, no effect of the metformin administration was detected on the abortion risk. No statistically significant effect of metformin on the abortion risk was observed in any comparison when subgrouping the RCTs according to received treatment. CONCLUSION(S): Metformin has no effect on the abortion risk in PCOS patients when administered before pregnancy.
Authors:
Stefano Palomba; Angela Falbo; Francesco Orio; Fulvio Zullo
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Publication Detail:
Type:  Journal Article; Meta-Analysis; Review     Date:  2008-10-19
Journal Detail:
Title:  Fertility and sterility     Volume:  92     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-11-02     Completed Date:  2009-11-23     Revised Date:  2010-02-22    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1646-58     Citation Subset:  IM    
Affiliation:
Department of Gynecology and Obstetrics, University Magna Graecia of Catanzaro, Italy. stefanopalomba@tin.it
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MeSH Terms
Descriptor/Qualifier:
Abortion, Spontaneous / etiology*
Adult
Algorithms
Female
Humans
Hypoglycemic Agents / adverse effects,  therapeutic use
Metformin / administration & dosage,  adverse effects*,  therapeutic use*
Ovulation Induction / methods
Polycystic Ovary Syndrome / drug therapy*,  epidemiology
Preconception Injuries
Pregnancy
Prenatal Exposure Delayed Effects / epidemiology,  etiology*
Randomized Controlled Trials as Topic / statistics & numerical data*
Risk Factors
Young Adult
Chemical
Reg. No./Substance:
0/Hypoglycemic Agents; 657-24-9/Metformin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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