Abstract
PURPOSE OF REVIEW
To consider evidence from recent studies linking maternal vitamin D status during pregnancy with maternal, fetal, and postnatal outcomes.
RECENT FINDINGS
Several studies have demonstrated an association between poor maternal vitamin D status and severe preeclampsia, though results are inconsistent and cannot be generalized to nonsevere preeclampsia. Pregnant women with gestational diabetes, intrahepatic cholestasis of pregnancy, and periodontal disease had lower vitamin D status at mid-gestation or delivery compared with controls. Maternal vitamin D status early in pregnancy was associated with risk of low birth weight and small-for-gestational age infants in one study, whereas another study found this relation only among white women. Polymorphisms in the vitamin D receptor gene may contribute to vitamin D-related disparities in fetal growth. Evidence from recent studies suggests an early prenatal influence of maternal vitamin D status on fetal skeletal development, with lasting postnatal effects. Cord blood vitamin D status was associated with tolerogenic immune regulation and fewer respiratory infections in the newborn.
SUMMARY
Recent evidence supports a role of maternal vitamin D status, particularly early in pregnancy, in modulating the risk of pregnancy complications and in sustaining fetal growth, bone development, and immune maturation.
TY - JOUR
T1 - Vitamin D status during pregnancy: maternal, fetal, and postnatal outcomes.
A1 - Dror,Daphna K,
PY - 2011/10/12/entrez
PY - 2011/10/12/pubmed
PY - 2012/1/18/medline
SP - 422
EP - 6
JF - Current opinion in obstetrics & gynecology
JO - Curr Opin Obstet Gynecol
VL - 23
IS - 6
N2 - PURPOSE OF REVIEW: To consider evidence from recent studies linking maternal vitamin D status during pregnancy with maternal, fetal, and postnatal outcomes. RECENT FINDINGS: Several studies have demonstrated an association between poor maternal vitamin D status and severe preeclampsia, though results are inconsistent and cannot be generalized to nonsevere preeclampsia. Pregnant women with gestational diabetes, intrahepatic cholestasis of pregnancy, and periodontal disease had lower vitamin D status at mid-gestation or delivery compared with controls. Maternal vitamin D status early in pregnancy was associated with risk of low birth weight and small-for-gestational age infants in one study, whereas another study found this relation only among white women. Polymorphisms in the vitamin D receptor gene may contribute to vitamin D-related disparities in fetal growth. Evidence from recent studies suggests an early prenatal influence of maternal vitamin D status on fetal skeletal development, with lasting postnatal effects. Cord blood vitamin D status was associated with tolerogenic immune regulation and fewer respiratory infections in the newborn. SUMMARY: Recent evidence supports a role of maternal vitamin D status, particularly early in pregnancy, in modulating the risk of pregnancy complications and in sustaining fetal growth, bone development, and immune maturation.
SN - 1473-656X
UR - https://www.unboundmedicine.com/medline/citation/21986726/Vitamin_D_status_during_pregnancy:_maternal_fetal_and_postnatal_outcomes_
L2 - https://doi.org/10.1097/GCO.0b013e32834cb791
DB - PRIME
DP - Unbound Medicine
ER -