J Obstet Gynaecol Res. 2021 Aug 9. doi: 10.1111/jog.14960 Publisher will rent the PDF for $14
Refika G Koyucu 1, Tuğba Özcan 2
Zero pain at 2-3 cm with 50 ng?
Fact: Higher Vitamin D improves pregnancies and infant health
Fact: Higher Vitamin D reduces pain
This study observes Higher Vitamin D asscociated with lower pain during labor
Note: 40-60 ng is a good level of vitamin D for life as well as pregnancy
- Is 50 ng of vitamin D too high, just right, or not enough
- How 60 ng of vitamin D enabled pregnancy - a personal story
Healthy pregnancies need lots of vitamin D has the following summary
|0. Chance of not conceiving||3.4 times||Observe|
|1. Miscarriage||2.5 times||Observe|
|2. Pre-eclampsia||3.6 times||RCT|
|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 times||Observe|
|Stillbirth - OMEGA-3||4 times||RCT - Omega-3|
|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
|10. Childhood Wheezing||1.3 times||RCT|
|11. Additional child is Autistic||4 times||Intervention|
|12.Young adult Multiple Sclerosis||1.9 times||Observe|
|13. Preeclampsia in young adult||3.5 times||RCT|
|14. Good motor skills @ age 3||1.4 times||Observe|
|15. Childhood Mite allergy||5 times||RCT|
|16. Childhood Respiratory Tract visits||2.5 times||RCT|
RCT = Randomized Controlled Trial
0 - 10 Pain Scale from web
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- Reviesw of this study by GrassrootsHealth
Aim: Vitamin D has widespread receptor distribution in the body, and therefore it has vital roles in numerous pathophysiological conditions. It also affects pain manifestation through its functions at various stages of the pain pathways. This study aimed to investigate the effects of intrapartum vitamin D levels on pain experienced by women during the first stage of labor.
Methods: A total of 127 term-nulliparous women at the early stage of labor were included in the study. Serum 25 (OH) vitamin D levels were measured at the beginning of labor to determine intrapartum vitamin D levels. Labor pain was assessed using the Visual Analog Scale at different stages of cervical dilation (VAS0 , VAS1 , VAS2 ). Postpartum pain (VASpp ) and women's birth satisfaction score (BSS) were also evaluated during the early postpartum period.
Results: There was a moderate negative correlation between vitamin D and VAS0 and VAS1 (r2 = 0.4, p = 0.000; r2 = -0.570, p = 0.000, respectively), and a weak negative correlation between vitamin D and VAS2 (r2 = -0.373, p = 0.000). No significant correlation was found between vitamin D and BSS and length of labor (p = 0.127, p = 0.126, respectively).
Conclusion: In nulliparous women with low vitamin D levels, the first stage of labor and the early postpartum period may be more painful. To facilitate management of labor pain, during the antenatal period vitamin D levels should be monitored, and in cases where the levels are deficient, vitamin D supplementation should be started.
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