The effect of low-dose aspirin on pregnancies complicated by elevated human chorionic gonadotropin levels.

Abstract:

OBJECTIVE:Our purpose was to determine whether elevated second-trimester human chorionic gonadotropin levels identify women likely to benefit from low-dose aspirin therapy. STUDY DESIGN:We evaluated second-trimester human chorionic gonadotropin levels obtained from healthy nulliparous women before screening for participation in a double-blind randomized trial of aspirin therapy: 262 women took 60 mg of aspirin daily and 420 did not. RESULTS:Among women who did not take aspirin, those with human chorionic gonadotropin levels > or = 2.0 multiples of the median had a significantly lower mean birth weight (2859 vs 3159 gm, p = 0.04) than did those with normal human chorionic gonadotropin levels. All women who took aspirin had a higher mean birth weight than women who did not, but women with human chorionic gonadotropin levels > or = 2.0 multiples of the median had the greatest increase (416.2 gm higher in those with human chorionic gonadotropin levels > or = 2.0 multiples of the median, p = 0.02; 96 gm higher in those with human chorionic gonadotropin levels > or 2.0 multiples of the median, p = 0.04). Regression analysis suggested that the higher birth weight was partly explained by a higher gestational age at delivery and partly by increased weight independent of gestational age. CONCLUSIONS:Aspirin therapy increased birth weight in all women, especially in women with high human chorionic gonadotropin levels, partly by increasing gestational age at delivery. This observation needs to be confirmed by further studies.

journal_name

Am J Obstet Gynecol

authors

Wenstrom KD,Hauth JC,Goldenberg RL,DuBard MB,Lea C

doi

10.1016/0002-9378(95)91373-4

subject

Has Abstract

pub_date

1995-10-01 00:00:00

pages

1292-6

issue

4

eissn

0002-9378

issn

1097-6868

pii

0002-9378(95)91373-4

journal_volume

173

pub_type

临床试验,杂志文章,随机对照试验
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  • Plasma estrogens in euthyroid and thyrotoxic women.

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    pub_type: 杂志文章

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    更新日期:1975-08-01 00:00:00

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    doi:10.1016/j.ajog.2007.03.035

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    更新日期:2007-08-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:2013-09-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:2002-03-01 00:00:00

  • A prospective randomized controlled trial that compared misoprostol, Foley catheter, and combination misoprostol-Foley catheter for labor induction.

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    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

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    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

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    更新日期:1996-02-01 00:00:00

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    pub_type: 杂志文章

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    pub_type: 杂志文章

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    更新日期:1988-12-01 00:00:00

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    pub_type: 临床试验,杂志文章

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    更新日期:1994-10-01 00:00:00

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    pub_type: 杂志文章

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  • Is manual palpation of uterine contractions accurate?

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    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(96)70397-6

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    更新日期:1996-01-01 00:00:00

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    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

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    更新日期:2000-05-01 00:00:00

  • Gordon's syndrome in pregnancy.

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    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

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    更新日期:1987-05-01 00:00:00

  • The nature of labor pain.

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    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,评审

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    更新日期:2002-05-01 00:00:00

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    更新日期:1981-10-15 00:00:00

  • Use of Norplant contraceptive implants in the immediate postpartum period: safety and tolerance.

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    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

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    更新日期:1995-01-01 00:00:00

  • Fetal behavioral state patterns during and after prolonged exposure to cocaine in sheep.

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    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

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    更新日期:1995-04-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:1984-02-15 00:00:00

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    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2007.11.058

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    更新日期:2008-07-01 00:00:00

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    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(86)90752-0

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    更新日期:1986-05-01 00:00:00

  • Knowledge, interest, and motivations surrounding self-managed medication abortion among patients at three Texas clinics.

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    pub_type: 杂志文章

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  • Determinants of perinatal outcome in pregnancy-induced hypertension with absence of umbilical artery end-diastolic frequencies.

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    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

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