Preterm birth occurs in 5%-13% of pregnancies. it is a leading cause of perinatal mortality and morbidity and has adverse long-term consequences for the health of the child. because of the role selenium plays in attenuating inflammation, and because low concentrations of selenium have been found in women with preeclampsia. Low maternal selenium status during early gestation would increase the risk of preterm birth.
Study has shown 60 women (5.3%) among (n = 1197) who had preterm bith, 21 had premature rupture of the membranes and 13 had preeclampsia. The serum selenium concentration at 12 weeks' gestation was significantly lower among women who had apreterm birth than among those who delivered at term.
Women in the lowest quartile of serum selenium had twice the risk of preterm birth as women in the upper three quartiles, even after adjustment for the occurence of preeclampsia.
Having low serum selenium at the end of the first trimester was related to preterm birth and was independent of the mother having preeclampsia. Low maternal selenium status during early gestation may increase the risk of preterm premature rupture of the membranes, which is a major cause of preterm birth.
From Canadian Medical Association Journal, March 22, 2011, 183(5), 549-555.