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"Pain. Joints. Spine." 2 (18) 2015

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Supply of Vitamin D in Pregnant Women

Authors: Boychuk A., Budnik T., Boyarchuk O. - Ternopil State Medical University named after I.Ya. Horbacevsky, Ternopil, Ukraine

Categories: Rheumatology, Traumatology and orthopedics

Sections: Medical forums

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Статья опубликована на с. 86-87

Introduction. The role of vitamin D is well researched in the processes of mineral metabolism. However, in recent years, new sides of the importance of its deficiency in development of many diseases are discovered. Nowadays the question of the impact of vitamin D deficiency on the development of a number of pathologies in infants, in general its impact on the pregnant women health and newborn child is discussed. The use of vitamin D and its optimal doses during pregnancy is remained open (Luz Maria De–Regil et al., 2012).

The aim of our study was to determine the availability of vitamin D in pregnant for determining the need of further correction.

Materials and methods. The survey of 30 women recently confined who were in the obstetrics and physiological department of Ternopil city Hospital № 2 was done. The survey included a questionnaire containing the social block of questions (age, education, financial position), a block of questions related to the supply of vitamin D (using products containing vitamin D, sun stay, suntan cream use, etc.), as well as questions about the awareness of women recently confined about the role of the vitamin D. In addition a standard questionnaire was used to define the daily intake of vitamin D and calcium from food.

Results. The average age of women was 26.97 ± 4.89 years. Half of the women had higher education, 20 % — incomplete higher education, others — secondary education. Majority of women (63.3 %) evaluated their social status as satisfactory, the rest of them — good. It was found that the average daily intake of vitamin D from food during pregnancy was 311.40 ± 56.85 IU: du–ring the first pregnancy — 391.7 ± 71.9 IU, during the next pregnancy — 231.0 ± 42.2 IU. Average daily calcium intake was 1,318.7 ± 240.7 mg: during the first pregnancy — 1,110.1 ± 202.7 mg, the next pregnancy — 1,527.7 ± 278.9 mg.

12 women (40 %) received vitamin D additionally. Most of them (10–33 %) received vitamin D at a dose of 500 IU daily in the form of complex vitamin and microelements, ranging from 12 weeks of pregnancy. One woman took them from 8 to 16 week, as she read that just at that period enhanced bone formation was gone and the need of calcium and vitamin D increased. The other woman took 500 IU Ergocalciferol from 28 to 34 week on the advice of the doctor, as during this period she did not go out because of fear to catch disease (January — February).

In addition, 20 (66.7 %) women took fish oil on prescription of the doctor, whom they were registered, as they were suffering from the signs of preeclampsia. Among the women recently confined who took fish oil were dominated pregnant women not for the first time.

19 (63.3 %) of pregnant were outdoor more than 2 hours, 9 (30 %) were outdoor less than 2 hours, 2 (6.7 %) did not walk every day. 11 (36.7 %) of pregnant used sunprotection cream with the effect of SPF.

12 (40 %) women recently confined knew about vitamin D and its benefits during pregnancy (all had higher education). The rest of women were not aware of the importance of vitamin D, they were mostly women with secondary education 15 (50 %).

Conclusion. Thus, researches have shown low supply of vitamin D of pregnant women from food which requires correction of vitamin D in the period of increased body demands. Extra vitamin D during pregnancy is mainly provided by fish oil or common multivitamins, doses and duration of taking them were not always adequate. Educational work among pregnant women about the role of vitamin D and its effect on the foetus is required.

 



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