No vitamin D screening in pregnancy: committee from Reuters
By Alison McCook, NEW YORK | Mon Jun 20, 2011
Clips from article follow
(Reuters Health) - Most pregnant women do not need to be screened for vitamin D deficiency, nor given additional supplements, according to an official statement issued by the American College of Obstetricians and Gynecologists.
The only pregnant women who might benefit from a blood test for vitamin D deficiency - and it's not clear even for them — are those who are at high risk for the problem in the first place due to certain diseases or other circumstances.
And if a woman asked if she could take a supplement with modest amounts of vitamin D, "I would be okay with that," Macones added. "I just wouldn't routinely recommend it."
To date, researchers have not published a randomized controlled study of the effects of vitamin D on pregnancy. That type of trial yields the most reliable results.
Given the lack of conclusive evidence, the ACOG committee did not recommend that pregnant women be screened routinely for vitamin D deficiency and take supplements. Its report appeared online June 20th in ACOG's monthly medical journal, Obstetrics & Gynecology.
For now, as Wagner said in an email, "According to the IOM and the Endocrine Society, up to 4000 IU per day is safe during pregnancy; any dose above that should be taken in consultation with the patient's physician."
SOURCE: http://bit.ly/kbnKlF Obstetrics & Gynecology, July 2011.
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There is SO SO MUCH GOOD data
They said that only need to test if "those who are at high risk for the problem in the first place due to
certain diseases or other circumstances
The following are all at high risk of being vitamin D deficient
Are they circumstances?
- have dark skin
- living in the North
- short time from previous pregnancy
- twins
- had recent stress, such as an earthquake
They probably fear losing their jobs.
We guess that there would be 1/3 fewer OBGYNs if pregnant women had enough vitamin D
See VitaminDWiki
- Suggest that all pregnant women get or be tested for vitamin D – May 2011 Australia
- 33 percent of pregnant women in Turkey had undetectable vitamin D levels – May 2011
- Vitamin D Deficiency and Insufficiency is Common during Pregnancy – Jan 2011
- All items in Mom and Babies 151 items as of June 2011
- Vitamin D and Obstetrics Improving Pregnancy and Childbirth - UK conference May 2011
- many nice charts
- Overview Moms babies and vitamin D
Summary as of above as of June 2011
Dose IU | Cumulative Benefit | Blood level and notes | Co-factors (see list) | Calcium | $*/year |
400 | + less infant rickets + 3X less adolescent Schizophrenia + fewer child seizures | <30 ng/ml | Not needed | No effect | $3 |
2000 | + More likely to get pregnant naturally or via IVF + fewer dental problems with pregnancy + 8X less diabetes + 4X fewer C-sections (>37 ng) + 4X less preeclampsia (40 ng vs 10 ng) + 5X less child asthma | 42 ng/ml | Desirable | < 750 mg | $12 |
4000 | + 2X fewer pregnancy complications + 2X fewer per-term births | 49 ng/ml Test Vitamin D | Must have | < 750 mg | $175 |
6000 | + probable larger benefits for items listed above + Enough D for breastfed infant + Perhaps prevent 2nd autistic child | Test Vitamin D clinical trials underway | Must have | < 750 mg | $200 |
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The following summary is for posting as comment elsewhere
Incredible. There are 150+ studies showing how important vitamin D is before during and after pregnancy.
They seem to have totally missed out on the need for vitamin D if:
- have dark skin
- living in the North
- short time from previous pregnancy
- twins
- recent stress
See details and benefits of vitamin D to moms and babies at:
https://www.vitamindwiki.com/tiki-index.php?page_id=1746