International Journal of Infertility & Fetal Medicine

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VOLUME 2 , ISSUE 2 ( May-August, 2011 ) > List of Articles

RESEARCH ARTICLE

Metformin throughout Pregnancy in Women with Polycystic Ovary Syndrome: Safety and Advantages

Bharti Bansal, Rutvij Jay Dalal, P Palshetkar Nandita, D Pai Hrishikesh, Takhtani Manisha, Saxena Nidhi

Citation Information : Bansal B, Dalal RJ, Palshetkar Nandita P, Pai Hrishikesh D, Manisha T, Nidhi S. Metformin throughout Pregnancy in Women with Polycystic Ovary Syndrome: Safety and Advantages. Int J Infertil Fetal Med 2011; 2 (2):61-64.

DOI: 10.5005/jp-journals-10016-1019

License: CC BY-NC 4.0

Published Online: 01-04-2014

Copyright Statement:  Copyright © 2011; The Author(s).


Abstract

Objective

To study the incidence of spontaneous abortions, congenital malformations, neonatal and maternal hypoglycemia after metformin therapy in pregnancy.

Design

Prospective study.

Setting

Outpatient.

Patient(s)

56 women previously oligomenorrheic, nondiabetic women with polycystic ovarian syndrome, who conceived while on metformin.

Intervention(s)

Metformin 1 to 1.5 gm/day throughout pregnancy.

Main outcome

Incidence of 1st trimester abortions, gestational diabetes, teratogenicity and maternal complications, like gastritis and hypoglycemia.

Results

On metformin, the incidence of 1st trimester abortion was 11% and the incidence of gestational diabetes was 7%, which is much lower than the incidence otherwise cited for PCOS women. No major congenital abnormalities were observed.

Conclusion

Metformin therapy in pregnancy reduces the otherwise high incidence of 1st trimester abortions, and gestational diabetes in PCOS women is tolerated well and is not found to be teratogenic.


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