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Getting vitamin D during pregnancy is even more important than avoiding alcohol

Alcohol Low Vitamin D (< 40 ng)
Stillbirth0.9%
(>4drinks/week)
yes
Miscarriage4 X increase yes
Preterm birthyes 2 X increase
Low birth weightyes yes
C- sectionsno4 X increase
Preeclampsia1.1X increase
see PDF at bottom
4 X increase
Vaginosisno5 X increase
Small for Gestational Age?5 X increase
Childhood Asthmano?5 X more
Childhood BehaviourYesADHD
Autism
Childhood Health?Allergies
Infections
Childhood Cognition Lower IQ2X more language problems
Problem worse in1st trimester3rd trimester



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See also VitaminDWiki

Healthy pregnancies need lots of vitamin D has the following summary

Problem
ReducesProof
1. Miscarriage 2.5 times Observe
2. Pre-eclampsia 3.6 timesRCT*
3. Gestational Diabetes 3 times RCT*
4. Good 2nd trimester sleep quality 3.5 times Observe
5. Premature birth 2 times RCT*
6. C-section - unplanned 1.6 timesObserve
7. Depression AFTER pregnancy 1.4 times RCT*
8. Small for Gestational Age 1.6 times meta-analysis
9. Infant height, weight, head size
     within normal limits
RCT*
10. Childhood Wheezing 1.3 times RCT*
11. Additional child is Autistic 4 times Intervention
12.Young adult Multiple Sclerosis 1.9 timesObserve
13. Preeclampsia in young adult 3.5 timesRCT*
14. Good motor skills @ age 31.4 times Observe
15. Childhood Mite allergy 5 times RCT*
16. Childhood Respiratory Tract visits 2.5 times RCT*

See web

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No Alcohol for Sexually Active Women Without Birth Control, C.D.C. Recommends NYT Feb 2016

Wikipeida on Fetal Alcohol Syndrome

As of 1987, fetal alcohol exposure was the leading known cause of intellectual disability in the Western world. In the United States and Europe, the FAS prevalence rate is estimated to be between 0.2–2 in every 1000 live births. FAS should not be confused with Fetal Alcohol Spectrum Disorders (FASD), a condition which describes a continuum of permanent birth defects caused by maternal consumption of alcohol during pregnancy, which includes FAS, as well as other disorders, and which affects about 1% of live births in the US (i.e., about 10 cases per 1000 live births).
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FAS term coined in 1974 Lancet article


Stillbirth rate = 0.9% if > 4 drinks per week

Moderate Alcohol Intake during Pregnancy and the Risk of Stillbirth and Death in the First Year of Life 2001
The authors evaluated the association between alcohol intake during pregnancy and risk of stillbirth and infant death in a cohort of pregnant women receiving routine antenatal care at Aarhus University Hospital (Aarhus, Denmark) between 1989 and 1996. Prospective information on alcohol intake, other lifestyle factors, maternal characteristics, and obstetric risk factors was obtained from self-administered questionnaires and hospital files, and 24,768 singleton pregnancies were included in the analyses (116 stillbirths, 119 infant deaths). The risk ratio for stillbirth among women who consumed ≥5 drinks/week during pregnancy was 2.96 (95% confidence interval: 1.37, 6.41) as compared with women who consumed <1 drink/week. Adjustment for smoking habits, caffeine intake, age, prepregnancy body mass index, marital status, occupational status, education, parity, and sex of the child did not change the conclusions, nor did restriction of the highest intake group to women who consumed 5–14 drinks/week (risk ratio = 3.13, 95% confidence interval: 1.45, 6.77). The rate of stillbirth due to fetoplacental dysfunction increased across alcohol categories, from 1.37 per 1,000 births for women consuming <1 drink/week to 8.83 per 1,000 births for women consuming ≥5 drinks/week. The increased risk could not be attributed to the effect of alcohol on the risk of low birth weight, preterm delivery, or malformations. There was little if any association between alcohol intake and infant death.

 Download the PDF from VitaminDWiki

Attached files

ID Name Comment Uploaded Size Downloads
5258 Pregnancy drink2.jpg admin 29 Mar, 2015 02:38 32.03 Kb 1117
5253 Alcohol during pregnancy - 2007.pdf PDF admin 28 Mar, 2015 16:55 150.42 Kb 394
5252 Hypertension During Pregnancy - 2012.pdf PDF admin 28 Mar, 2015 16:54 420.40 Kb 341
5250 Pregnancy and vitamin D.gif admin 28 Mar, 2015 15:43 33.80 Kb 1152
5249 CDC map binge.jpg admin 28 Mar, 2015 15:12 56.05 Kb 1799
5248 Wikipedia FAS.jpg admin 28 Mar, 2015 13:25 54.77 Kb 767
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