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Efficacy of Sesame (Sesamum Indicum L.) in the Management of Incomplete Abortion: An Open-Label Randomized Controlled Clinical Trial Publisher Pubmed



Aghababaei Z1 ; Nejatbakhsh F2 ; Mazaheri M1 ; Shirazi M3 ; Feizi A4 ; Bozorgi M5 ; Bioos S2
Authors
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Authors Affiliations
  1. 1. Department of Persian Medicine, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Persian Medicine, School of Persian Medicine, Tehran University of Medical Science, Tehran, Iran
  3. 3. Maternal Fetal and Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Isfahan Endocrine and Metabolism Research Center, And Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
  5. 5. Persian Medicine and Pharmacy Research Center, Tehran University of Medical Sciences, Tehran, Iran

Source: Complementary Medicine Research Published:2021


Abstract

Background: Incomplete abortion is a common complication of pregnancy. Sesamum indicum L. is a widely used emmenagogue herb. Objectives: We designed a clinical trial to evaluate the efficacy of sesame for the removal of retained products of conception (RPOC). Methods: In this randomized, open-label, and controlled trial, 45 patients received sesame powder as an intervention group and 45 patients received expectant management as a control group for 5 days. The primary outcome measure was complete resolution of RPOC assessed by sonography. Secondary outcome measures were severity of patients' vaginal bleeding and pain. Results: 84.1% had complete resolution of RPOC in the sesame group, while 26.2% had complete resolution of RPOC in the control group, which was statistically significant (p < 0.001). Moreover, patients in the sesame group showed a significantly more decreasing trend in pain and vaginal bleeding compared to the control group (p < 0.001). Conclusion: Sesame had a significant effect on the removal of RPOC and the reduction of pain and vaginal bleeding. © 2021 S. Karger AG, Basel.