Mikro Besin Takviyesinin Maternal ve Fetal Sonuçlara Etkisi: D vitamini, Kalsiyum ve Magnezyum

275 - 280, 07.09.2018

Ozan Doğan , Aşkı Ellibeş Kaya , Çiğdem Pulatoğlu , Bertan Akar , Alper Başbuğ , Eray Çalışkan

https://doi.org/10.16948/zktipb.454539

Öz

Giriş

               Fetal ve maternal sağlığa olumlu
etkileri olması nedeniyle gebelik döneminde artan ihtiyaçla orantılı olarak
vitamin ve mineral desteğine ihtiyaç vardır. Bu
çalışmada mikro besin takviyesi olarak D vitamini, Kalsiyum (Ca) ve Magnezyum
(Mg) desteği alan gebelerin postnatal sonuçlarını ve gebelik komplikasyonlarını
araştırmak amaçlandı.

 

Materyal ve Metod

 

               Yapılan bu prospektif, longitudinal
ve kalitatif çalışmaya Ocak 2016 ve Ocak 2018 tarihleri arasında 18-40 yaş arası toplam 2114 hasta
dahil edilmiştir

 

Bulgular

 

Maternal
yaş aralığı tüm hasta grupları için 28.11 ± 6.12‘ dir. Multivitamin kullanan
grubun yaş ortalaması D vitamini grubuna göre daha düşük saptandı(p= 0.001). Yalnızca
Mg ve D vitamini kullanan grupta yüksek lisans seviyesinde eğitim görenler daha
fazlaydı(p=0.001). Mg, Ca, D vitamini ve multivitamin kullananımı ile
gebelik komplikasyonları arasında anlamlı ilişki bulunamadı. Multivitamin
kullanan gebelerde LGA daha fazla görüldü(p=0.038). İlk gebelik yaşı Ca ve
mulivitamin kullanan grupta Mg ve D vitamini kullanan gruba göre daha düşük
bulunmuştur(p=0.001).

 

Sonuç

 

            Annenin sağlıklı bir gebelik
geçirmesi, maternal komplikasyonlardan korunması, fetusun büyüme ve gelişmesi
için annenin düzenli beslenmesinin yanı sıra vitamin ve mineral takviyesi
önemlidir. Bu takviyelerin literatürde gösterilmiş olan yararlarını desteklemek
ve rutin kullanımda yer vermek için daha çok prospektif çalışmaya ihtiyaç
vardır.

Anahtar Kelimeler

D vitamini, kalsiyum, gebelik, magnezyum, mikrobesin takviyesi

Effects of Micronutrient Supplement on Maternal and Fetal Outcomes: Vitamin D, Calcium and Magnesium

Öz

Introduction

 

Due to the positive effects on fetal and
maternal health, there is an increased need for vitamin and mineral supplements
during pregnancy. In this study, it was aimed to investigate the postnatal
outcomes and pregnancy complications of pregnant women who received vitamin D
supplementation, calcium (Ca) and magnesium (Mg) as micronutrient supplement.

 

Materials and Methods

 

A total of 2114 patients aged between 18
and 40 years were included in this prospective, longitudinal and qualitative
study between January 2016 and January 2018.

 

Results

 

The mean maternal age was 28.11 ± 6.12
for all patient groups. The mean age of the group received multivitamins was
lower than the vitamin D group (p = 0.001). In the group receiving only Mg and
vitamin D supplements, the number of postgraduate educated patients were
more  (p = 0.001). There was no significant relationship between Mg, Ca, vitamin D  and multivitamin use and pregnancy complications. LGA was more
frequent in multivitamin-using group (p = 0.038). The first gestational age was
found to be lower in Ca and multivamine group compared to the group receiving
Mg and vitamin D supplement (p = 0.001).

 

Conclusion

 

Vitamin and mineral supplementation as
well as the regular daily nutrition is important not only for women to have a
healthy pregnancy period without any maternal complications but also for growth
and development of the fetus. More prospective studies with larger population
are needed for supporting the benefits of these supplements and suggest their
routine usage.

Anahtar Kelimeler

Vitamin D, calcium, pregnancy, magnesium, micronutrition supplementation

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