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Vol 276 No 7395 p410
8 April 2006

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Vitamin C and E supplements do not prevent pre-eclampsia

Vitamin C and E supplementation does not prevent pre-eclampsia in women at risk, according to research published online in The Lancet (30 March 2006).

A total of 2,404 women identified as being at risk of pre-eclampsia were randomised to receive either vitamin C with vitamin E (1,000mg/400IU) or placebo from the second trimester of pregnancy until delivery. The researchers found that not only was the incidence of pre-eclampsia similar in patients given the combination treatment compared with those given placebo (15 per cent versus 16 per cent, risk ratio 0.97, 95 per cent confidence interval 0.80–1.17), but the mean gestational age at pre-eclampsia diagnosis was more than a week earlier in the treatment arm (34 weeks versus 35 weeks +1 day, difference 8 days, 95 per cent confidence interval 2–14).

Patients in the treatment arm were also at greater risk of having babies with low birthweight (28 per cent versus 24 per cent, risk ratio 1.15, 95 per cent confidence interval 1.02–1.30), but no difference in small size for gestational age was seen between the two groups (21 per cent versus 19 per cent, 1.12, 0.96–1.31).

The authors conclude that use of these antioxidants at such high doses is not warranted in pregnancy.

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