The provision of vitamin D in parturients and newborn infants in the mother-child dyad under the conditions of the Subarctic Zone of the Russian federation in the winter season
- Authors: Malyavskaya S.I.1, Karamyan V.G.2, Kostrova G.N.1, Lebedev A.V.1
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Affiliations:
- Northern State Medical University
- K.N. Samoilova Arkhangelsk Clinical Maternal Hospital
- Issue: No 3 (2018)
- Pages: 58-62
- Section: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/248175
- DOI: https://doi.org/10.18565/aig.2018.3.58-62
- ID: 248175
Cite item
Open Access
Access granted
Abstract
Objective. To assess the provision of vitamin D in newborn infants and parturients in the mother-child dyad in the city of Arkhangelsk in the winter season. Subjects and methods. A total of 55 mother-child pairs from the city of Arkhangelsk were examined during the cross-sectional study. The level of 25(OH)D was determined in umbilical cord blood and parturients. Results. Vitamin D def iciency was found in the mothers: only 19 (35%) of the examined women had vitamin D levels above the recommended values (30 ng/ml). The newborns were provided with vitamin D much worse than their mothers: only 4 (7%) children had a normal level of vitamin D; 20 (36%) had the level that corresponded to its deficiency; severe deficiency and insufficiency were noted in 17(31%) and 14 (26%) newborn infants, respectively. The level of 25(OH)D in a baby was shown to be clearly related to its provision in his/her mother. Severe vitamin D deficiency was recorded in all children born to mothers with severe deficiency (25(OH)D levels below 10 ng/ml); the children born to mothers with deficiency (25(OH)D levels of 10-19 ng/ml) were observed to have severe in vitamin D deficiency in 43% of cases and insufficiency in 57%; those born to mothers with vitamin D def iciency (25(OH)D levels of 20-30 ng/ml) were found to have severe vitamin deficiency in 40% of cases, deficiency in 47%, and insufficiency in 13%. Conclusion. The critically low levels of vitamin D in umbilical cord blood (96% of the children have 25(OH) D levels below 30 ng/ml) indicate that it is necessary to introduce a system of urgent remedial measures using adequate correction schemes for both pregnant women and newborns who should be given vitamin D supplements from birth if their mothers have been found to have vitamin D deficiency. It is advisable to determine the baseline level of 25(OH)D in all pregnant women for the prescription of an appropriate dose of vitamin D.
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About the authors
Svetlana Ivanovna Malyavskaya
Northern State Medical University
Email: Malyavskaya@yandex.ru
MD, professor, head of the Department of Pediatrics
Viktoria Grigoryevna Karamyan
K.N. Samoilova Arkhangelsk Clinical Maternal Hospital
Email: rds@atnet.ru
Chief Physician
Galina Nikolaevna Kostrova
Northern State Medical University
Email: kostrovagn@yandex.ru
Candidate of Medical Science, associate professor of the Department of Normal Physiology
Andrey Viktorovich Lebedev
Northern State Medical University
Email: andruleb@yandex.ru
MD, associate professor of the Department of Pathological Physiology
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