Objective To investigate a possible relationship between a deficiency
in serum selenium concentration and first trimester miscarriage. Desig
n An observational study. Setting A teaching hospital in South Wales.
Participants and methods Serum selenium, albumin and total protein wer
e measured in 40 women admitted with first trimester nonrecurrent misc
arriage. The results were compared with an equal number of age-matched
nonpregnant healthy volunteers, and also from 40 pregnant women atten
ding the antenatal clinic for booking in the first trimester. Results
A reduction in serum selenium normally occurs in the first trimester o
f pregnancies that progress to term. However, a further statistically
highly significant decrease in serum selenium was observed in those wo
men who miscarried. Conclusion Further studies are required to assess
the potential benefits of selenium supplements.