|
|
Study on the Relationship between Vitamin D Intake during Pregnancy and Maternal and Neonatal Outcomes |
ZHANG Wei; WEI Jian-tao; CHEN Xiao-lan |
The People's Hospital of Gaoxin District,Chongqing 400039,China |
|
|
Abstract 【Objective】 To investigate the relationship between vitamin D (VD) intake during pregnancy and maternal and neonatal outcomes.【Methods】One hundred pregnant women in middle-late pregnancy, who received antenatal care in our hospital between January 2015 and January 2016, were selected as the observation group while 60 non-pregnant healthy women were selected as the control group at the same time period. The levels of 25 hydroxyvitamin D3 [25(OH)D3] were determined by enzyme linked immunosorbent assay. According to the levels of 25(OH)D3, women in the observation group were divided into the deficient group, the insufficient group and the normal sub groups. The maternal and neonatal outcomes were compared among these groups. 【Results】 The average level of serum 25(OH)D3 in the observation group was [(42.58±11.34) nmol/L], which was significantly lower than that in the control group [(53.36±10.82) nmol/L](P<0.05). The VD normal group, deficient group and insufficient group showed incidence rates of fetal distress to be 3.85%, 11.67% and 35.71% respectively, abortion to be 3.85%, 10% and 35.71% respectively, bacterial vaginosis to be 0.00%, 10.00% and 28.57% and gestational age to be (39.50±1.42), (38.10±2.00) and (37.28±0.50) respectively. Those differences were statistically significant (P<0.05). There were no significant differences in gestational diabetes, gestational hypertension, cesarean section, anemia, neonatal birth weight, height and head circumference among these groups (P>0.05). 【Conclusion】 VD insufficiency or deficiency during pregnancy will increase the risk of fetal distress, abortion and bacterial vaginosis as well as significantly shorten the gestational age. The level of VD during pregnancy has nothing to do with the growth of newborns.
|
Received: 15 November 2016
|
|
|
|
|
[1] 吴娟子,刘玉凌,刘谦,等.武汉市孕妇及新生儿维生素D水平的现状调查[J].西部医学,2013,25(5):703-705. [2] 王丽萍,黄金.孕期维生素D 水平与不良妊娠结局相关性研究进展[J].实用医学杂志,2015,31(20):3446-3448. [3] 朱雯惠,黄敏,熊梅,等.妊娠早期女性与非妊娠女性饮食摄入比较研究[J].湖南师范大学学报(医学版),2015,12(5):125-128,129. [4] 唐毅,杨靖,曹洪义,等.四川成都温江区女性群体维生素D与骨代谢相关指标的调查分析[J].成都医学院学报,2016,11(1):116-119. [5] Mulligan ML,Felton SK,Riek AE,et al.Implications of vitamin D defici-ency in pregnancy and lactation[J].Am J Obst Gynecol,2010,202(5): 429.e1-e9. [6] 苏秀娟,郁君,王伟琳,等.孕期维生素D的补充现状及其对妊娠的影响[J].中国妇幼健康研究,2014,25(1):29-31. [7] 刘睿,苗巍,关海霞,等.母体维生素D缺乏对妊娠及后代的影响[J].国际内分泌代谢杂志,2013,33(4):276-278,286. [8] 彭永,吕肖锋.维生素D与2型糖尿病的相关性研究进展[J].解放军医药杂志,2015,27(4):112-116. [9] 周辉,谭译,肖思科,等.孕早期血清25羟维生素D水平与妊娠期糖尿病的相关性[J].医学临床研究,2015,32(10):2043-2044. [10] 吴桐,向菲,欧亚萍,等.孕妇血清维生素D水平与妊娠结局的相关性研究[J].重庆医学,2016,45(7):893-895. [11] 宋淑军,张文颖,司少艳,等.孕期VD缺乏以及对胎儿的影响[J].中国骨质疏松杂志,2013,19(9):998-1002. [12] 曾理.母孕期维生素D水平与婴儿体格生长的相关性研究[J].中国儿童保健杂志,2014,22(5):537-539. |
[1] |
. [J]. JOURNAL OF CLINICAL RESEARCH, 2017, 34(2): 386-388. |
|
|
|
|