Prevalence of Vitamin D Deficiency in Burka-clad Pregnant Women in a 450-Bedded Maternity Hospital of Delhi
The Journal of Obstetrics and Gynecology of India, pp 1-5
Sangita Nangia Ajmani , Mohini Paul, Poonam Chauhan, A. K. Ajmani, Namrta Yadav
200 pregnant women with burkas – 23 ng mean value
39% Vitamin D inadequate (10-20 ng?)
38% Vitamin D deficient (<10 ng?)
Preeclampsia woman 100% were deficient
12 NICU Infants: 40% had deficient mothers
19 Low Birth Weight infants :79% had deficient mothers
See also VitaminDWiki
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- Hypertension in pregnancy (preeclampsia) more frequent in winter (low vitamin D) – Jan 2015
- Preeclampsia rate cut in half by high level of vitamin D – meta-analysis March 2014
- Preeclampsia 40 percent less likely if mother had more than 20 ng of vitamin D – Jan 2014
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- 7X increase in early severe preeclampsia associated with low vitamin D – Aug 2012
- 200 IU of Vitamin D does not prevent preeclampsia – RCT Aug 2012
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- Seasonal variation on preeclampsia is correlated with sunlight intensity - June 2010
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Aim
To assess the prevalence of vitamin D deficiency in burka-clad pregnant women and to study feto-maternal outcome in these women.Methods
200 pregnant burka-clad women of 18–40-year age group irrespective of the period of gestation were recruited from the ANC OPD/ward of Kasturba hospital, and their vitamin D levels were estimated. Patients were categorized into vitamin D deficient, vitamin D inadequate, and vitamin D adequate according to The Endocrine Society Guidelines. The association of vitamin D deficiency with dietary/environmental factors was taken note of. Associations with preeclampsia, gestational diabetes mellitus (GDM), low birth weight (LBW), prematurity, APGAR score, and NICU admission were also studied.Results
78 patients (39.0 %) were vitamin D inadequate; 75 patients (37.5 %) were vitamin D deficient; and 47(23.5 %) were vitamin D adequate. Mean value of vitamin D level was 23.25 ng/ml ± 18.49 (SD).- Fifteen patients (7.5 %) developed preeclampsia, and all 15 were vitamin D deficient;
- 13 (6.5 %) developed GDM; and only 5 (2.5 %) of them were vitamin D deficient.
- 19 patients (9.5 %) delivered LBW babies;
mothers of 15 (7.5 %) of them were vitamin D deficient. - 12 patients (6.0 %) delivered premature babies, and
mothers of 4 (2 %) were vitamin D deficient; - 12 babies had APGAR score <7 at 5 min;
mothers of 4 (2.0 %) were vitamin D deficient. - Babies of 12 patients (6 %) were admitted in NICU, and of these 12 babies,
mothers of 5 (2.5 %) were vitamin D deficient.
Conclusion
The prevalence of vitamin D deficiency was high among burka-clad pregnant women, and it is associated with adverse maternal and fetal outcomes. Routine screening of vitamin D levels is recommended in burka-clad women to improve the feto-maternal outcome.
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