Maternal Vitamin D Deficiency and Insufficiency - Prevelance and Effective Factors

Year 2018, Volume: 4 Issue: 3, 20 - 25, 27.12.2018

Deha Denizhan Keskin

https://doi.org/10.19127/mbsjohs.474947

Abstract

Objective: We aimed to reveal the prevalences of vitamin D
deficiency and severe deficiency in pregnant women who applied for routine
examination in our study.

Material and
Methods: Between January 2015 and January 2018, 635 healthy
pregnant women who applied to our clinic for the first trimester routine
pregnancy examination were included in the study. The age, place of residence,
season in which the material was taken, 25 - OH vitamin D levels were reached.
Vitamin D level under 10 ng/ml was accepted as severe deficiency, 10 - 30 ng/ml
insufficiency and 30 - 100 ng/ml normal.

Results: Vitamin
D deficiency was detected in 58.1 % and severe deficiency was found in 36.9 %,
while vitamin D levels were normal in only 5 % of the patients. Vitamin D
levels were significantly lower in the 35 years old group (95.8 % - 90.9 %) (p =
0.03). There was no statistical correlation between the place of residence and
vitamin D (94.6 % - 95.7 %) (p = 0.529). We found abnormal vitamin D results in
winter and autumn season (98 % - 99.4 % versus 89.4 % - 93.3 %) (p = 0,000).

Conclusion: We observed that vitamin D deficiency and severe
deficiency, which have serious maternal and neonatal effects, are quite common
in our society (95 %). We are in the belief that how much decrease in negative
maternal and perinatal outcomes have been observed with the ‘Vitamin D
Supplement Programme in Pregnancy’ hold by T.C. Ministry of Health, via using
1200 IU vitamin D perday from 12 week of pregnancy until postpartum 6th month,
by cross-sectional studies and if the first 6 year results are in positive
direction, deficiency must be replaced according to age, season, and the
geographic region with more effective methods.

Keywords

Vitamin D, pregnancy, prevalence

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