Efficacy Of Low-Molecular-Weight Heparin In Preventing Preeclampsia: A Meta-Analysis Of Randomized Controlled Trials
DOI:
https://doi.org/10.48047/t4gefd15Keywords:
Heparin (low molecular weight), Preeclampsia, Prevention (Medicine); Meta-Analysis, Randomized Controlled Trials a,NCBI and The Cochrane Library, Pregnancy--Maternal and Neonatal Outcomes--PostprandialCare in Primary Health Centers.Abstract
Preeclampsia (PE) is a major pregnancy-related complication that leads to significant maternal and fetal morbidity and mortality. Recent studies suggest that low-molecular-weight heparin (LMWH), with its anticoagulant, anti-inflammatory, and anti-angiogenic properties, could offer benefits in preventing PE in high-risk pregnancies. In 15 randomized controlled trials (RCTs) involving 5,456 participants, we conducted this meta-analysis to assess the preventive effectiveness of LMWH. Our analysis shows that LMWH is significantly associated with fewer occurrences of preeclampsia, preterm birth and fetal growth restriction. Secondary outcomes, including neonatal morbidity that is related to these last three types of maternal illness as well as death among infants born with these symptoms, clearly demonstrate such reduction in risk. Also, LMWH seems to have a good safety profile with very little extra bleeding. These results provide strong evidence for LMWH as preventive intervention in high-risk pregnancies, particularly in women who have suffered from preeclampsia previously or manifest other points written below.
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