Loading...
 
Register Log In Login with facebook

Ensure a healthy pregnancy and baby - take Vitamin D before conception

Start Vitamin D soon if pregnant VDW 9923
Note:
Clinical trials adding vitamin D at 20 weeks have found little benefit 2018
Most trials now add vitamin D around 10 weeks
Very little reduction in miscarriage, Autism if add Vitmin D at 10 weeks
Loading dose at 4 weeks could greatly reduce miscarriage
Starting Vitamin D 11 weeks before will increase conception by 3 X

Response time is typically 11 weeks

Response time Vit D VDW 9923
  see charts further down the page for data


Number needed to treat

NNT = 2    Preconception Vitamin D ==> Increase chance of healthy full-term children by ~ 50%

Increased conception
  + fewer miscarries
     +fewer preterm
      + fewer birth defects
        + fewer C-section
          + fewer SGA
            + less Autism
              + less RTI, flu, pneumonia, Sepsis, etc

NNT = 20    Vitamin D during pregnancy ==> Preterm births drop from 10 % to 5 %

fewer preterm


See also VitaminDWiki

Miscarriage (1 in 5 pregnancies if ignore Vitamin D levels)

Vitamin D increases conception success

Preterm birth reduced by Vitamin D

Less likely to have C-Section if good level of vitamin D

Loading Dose during pregnancy proposed as 2 weeks

  • Loading doses span 1 to 50 days
    Loading dose (typically 400,000 IU) is followed by maintenance dose (typically 4,000 IU)
    No data available on time for safe fast loading dose during pregnancy

Many reasons to continue to have a high vitamin D level after the birth

4,000 IU or 40 ng is becoming a consensus for all adults

Other

Problems vs Trimester if low Vitamin D
Trimester 1
Week 0-12
Trimester 2
Week 13-28
Trimester 3
Week 29-39
MiscarriageAutismBreathing
HeartPremature
 Birth
Brain & Central Nervous System


Healthy pregnancies need lots of vitamin D has the following summary

Problem
ReducesEvidence
0. Chance of not conceiving3.4 times Observe
1. Miscarriage 2.5 times Observe
2. Pre-eclampsia 3.6 timesRandomized Controlled Trial
3. Gestational Diabetes 3 times Randomized Controlled Trial
4. Good 2nd trimester sleep quality 3.5 times Observe
5. Premature birth 2 times Randomized Controlled Trial
6. C-section - unplanned 1.6 timesObserve
     Stillbirth - OMEGA-3 4 timesRCT - Omega-3
7. Depression AFTER pregnancy 1.4 times Randomized Controlled Trial
8. Small for Gestational Age 1.6 times meta-analysis
9. Infant height, weight, head size
     within normal limits
Randomized Controlled Trial
10. Childhood Wheezing 1.3 times Randomized Controlled Trial
11. Additional child is Autistic 4 times Intervention
12.Young adult Multiple Sclerosis 1.9 timesObserve
13. Preeclampsia in young adult 3.5 timesRandomized Controlled Trial
14. Good motor skills @ age 31.4 times Observe
15. Childhood Mite allergy 5 times Randomized Controlled Trial
16. Childhood Respiratory Tract visits 2.5 times Randomized Controlled Trial


A lot of development happens BEFORE week 8

Note: Folic acid aupplementation is recommended 4 weeks BEFORE pregnancy to prevent with brain problems at week 2
Image


Vitamin D Levels Plateau typically in 11 weeks (Vitamin D starts to help in about half that time)


Web - high costs of pregnancies


The Role of Vitamin D in Fertility and during Pregnancy and Lactation : A Review of Clinical Data - Oct 2018

  • "In pregnancy, however, it should be considered that cord blood 25(OH)D concentrations are only about 50 to 80% of serum 25(OH)D concentrations. Therefore, it could be hypothesized, that the mother may need more 25(OH)D during pregnancy in order to transfer enough 25(OH)D to the fetus"
  • "Therefore, to provide sufficient vitamin D content in breast milk for the infant, the vitamin D intake of the mother during lactation has to be much higher compared to the intake during pregnancy as at birth, serum 25(OH)D concentrations in cord blood are about 50 to 80% of serum 25(OH)D concentrations of the mother "
  • Very conservative conclusion based on a lack of data and poor target goal. Pregnant women should take 800-1000 IU of vitamin D to maintain > 20 ng level of vitamin D.

 Download the PDF from VitaminDWiki

Short URL for this page=   is.gd/PregVitD

Created by admin. Last Modification: Friday October 12, 2018 14:34:44 UTC by admin. (Version 85)

Attached files

ID Name Comment Uploaded Size Downloads
10669 The Role of Vitamin D in Fertility and during.pdf PDF 2018 admin 12 Oct, 2018 14:18 376.28 Kb 1
10340 Fetus Development.jpg admin 11 Aug, 2018 16:46 66.66 Kb 210
See any problem with this page? Report it (FINALLY WORKS)