RSS-Feed abonnieren
DOI: 10.1055/a-2542-2818
The Correlation of Vitamin D Concentrations in Healthy Pregnant Women and Their Infants with Outcome Parameters

Abstract
Objective
The objective of this prospective study was to assess the concentration and impact of maternal 25(OH)D status on neonatal vitamin D concentrations and early neonatal outcomes in the newborns of mothers who did not take vitamin D supplements during pregnancy.
Methods and participants
The study is a cohort prospective study of the correlation of VD concentrations in mothers and their newborns. The study included 100 pairs.
Results
Only 16 mothers had a VD concentration in the reference interval (75–100 nmol/L), while 84 mothers had values less than 75 nmol/L (p<0.001). A significant difference in maternal VD concentration was determined in relation to tobacco consumption habits during pregnancy and placental condition (p<0.001). 95% of the neonates (95/100) of older, obese multigravida, who had hypovitaminosis D and inadequate exposure to sunshine, had normal VD concentrations (the mean=49.27 nmol/L) on the first day of life. The majority of the mothers gave birth to full-termnewborns with normal vitality scores and CRP and bilirubin levels in the reference interval.
Conclusion
The conclusion of this prospective study is that 84% of the healthy pregnant women had hypovitaminosis D. However 95% of their newborns were born full term, with normal anthropometric measurements, normal vitality scores, and normal VD concentrations. This study also confirmed that there is still no cause-and-effect association between hypovitaminosis D in pregnant women and their offspring with outcome parameters for both.
Publikationsverlauf
Eingereicht: 30. August 2024
Angenommen nach Revision: 10. Februar 2025
Artikel online veröffentlicht:
11. März 2025
© 2025. Thieme. All rights reserved.
Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
-
References
- 1 Bikle D. Nonclassic actions of vitamin D. J Clin Endocrinol Metab 2009; 94: 26-34
- 2 Dovnik A, Mujezinović F. The association of vitamin D levels with common pregnancy complications. Nutrients 2018; 10: 867
- 3 Dawodu A, Wagner CL. Prevention of vitamin D deficiency in mothers and infants worldwide – a paradigm shift. Paediatr Int Child Health 2012; 32: 3-13
- 4 Mulligan ML, Felton SK, Riek AE. et al. Implications of vitamin D deficiency in pregnancy and lactation. Am J Obstet Gynecol 2010; 202: 429.e1-e9
- 5 Holick MF, Chen T. Vitamin D deficiency: A worldwide problem with health consequences. Am J Clin Nutr 2008; 87: S1080-S1086
- 6 Zhang H, Wang S, Tuo L. et al. Relationship between maternal vitamin D levels and adverse outcomes. Nutrients 2022; 14: 4230
- 7 Zhang Y, Gong Y, Xue H. et al. Vitamin D and gestational diabetes mellitus: a systematic review based on data free of Hawthorne effect. BJOG 2018; 125: 784-793
- 8 Pirdehghan A, Vakili M, Dehghan R. et al. High prevalence of vitamin D deficiency and adverse pregnancy outcomes in Yazd, a central province of Iran. J Reprod Infertil 2016; 17: 34-38
- 9 Merewood A, Mehta SD, Chen TC. et al. Association between vitamin D deficiency and primary cesarean section. J Clin Endocrinol Metab 2009; 94: 940-945
- 10 Monier I, Baptiste A, Tsatsaris V. et al. First trimester maternal vitamin D status and risks of preterm birth and small-for-gestational age. Nutrients 2019; 11: 3042
- 11 Mousa A, Abell S, Scragg R. et al. Vitamin D in reproductive health and pregnancy. Semin Reprod Med 2016; 34: 1-13
- 12 Pérez-López FR, Pasupuleti V, Mezones-Holguin E. et al. Effect of vitamin D supplementation during pregnancy on maternal and neonatal outcomes: a systematic review and meta-analysis of randomized controlled trials. Fertil Steril 2015; 103: 1278-1288
- 13 Agarwal S, Kovilam O, Agrawal DK. Vitamin D and its impact on maternal-fetal outcomes in pregnancy: A critical review. Crit Rev Food Sci Nutr 2018; 58: 755-769
- 14 Mansur JL, Oliveri B, Giacoia E. et al. Vitamin D: Before, during and after pregnancy: Effect on neonates and children. Nutrients 2022; 14: 1900
- 15 Rabbani S, Afaq S, Fazid S. et al. Correlation between maternal and neonatal blood vitamin D level: Study from Pakistan. Matern Child Nutr 2021; 17: e13028
- 16 Mao D, Yuen LY, Ho CS. et al. The association of prenatal vitamin D status with pregnancy and neonatal outcomes. J Endocr Soc 2023; 8: 142
- 17 Saboute M, Yavar R, Kashaki M. et al. Investigation of association between maternal 25-OH vitamin D serum levels and neonatal early onset sepsis in newborns by evaluating key factors. Lipids Health Dis 2019; 18: 153
- 18 Huang J, Zhao Q, Li J. et al. Correlation between neonatal hyperbilirubinemia and vitamin D levels: A meta-analysis. PLoS One 2021; 16: e0251584
- 19 Moreno-Solís G, Fernández-Gutiérrez F, Torres-Borrego J. et al. Low serum 25-hydroxyvitamin D levels and bronchiolitis severity in Spanish infants. Eur J Pediatr 2015; 174: 365-372
- 20 Aghajafari F, Nagulesapillai T, Ronksley PE. et al. Association between maternal serum 25-hydroxyvitamin D level and pregnancy and neonatal outcomes: systematic review and meta-analysis of observational studies. BMJ 2013; 346: f1169
- 21 Karras S, Paschou SA, Kandaraki E. et al. Hypovitaminosis D in pregnancy in the Mediterranean region: a systematic review. Eur J Clin Nutr 2016; 70: 979-986
- 22 Ortigosa Gómez S, García-Algar O, Mur Sierra A. et al. Sociodemographic factors related to plasma concentrations of 25-OH vitamin D and PTH in cord blood. Rev Esp Salud Publica 2015; 89: 75-83
- 23 Aly YF, El Koumi MA, Abd El Rahman RN. Impact of maternal vitamin D status during pregnancy on the prevalence of neonatal vitamin D deficiency. Pediatr Rep 2013; 5: e6
- 24 Wierzejska R, Jarosz M, Klemińska-Nowak M. et al. Maternal and cord blood vitamin D Status and anthropometric measurements in term newborns at birth. Front Endocrinol (Lausanne) 2018; 9: 9
- 25 Wei R, Christakos S. Mechanisms underlying the regulation of innate and adaptive immunity by vitamin D. Nutrients 2015; 7: 8251-8260
- 26 Ashley B, Simner C, Manousopoulou A. et al. Placental uptake and metabolism of 25(OH)vitamin D determine its activity within the fetoplacental unit. Elife 2022; 11: e71094
- 27 Lokki AI, Heikkinen-Eloranta J, Öhman H. et al. Smoking during pregnancy reduces vitamin D levels in a Finnish birth register cohort. Public Health Nutr 2020; 23: 1273-1277
- 28 Aly YF, El Koumi MA, Abd El Rahman RN. Impact of maternal vitamin D status during pregnancy on the prevalence of neonatal vitamin D deficiency. Pediatr Rep 2013; 5: e6
- 29 Halicioglu O, Aksit S, Koc F. et al. Vitamin D deficiency in pregnant women and their neonates in spring time in western Turkey. Paediatr Perinat Epidemiol 2012; 26: 53-60
- 30 Tao RX, Zhou QF, Xu ZW. et al. Inverse correlation between vitamin D and C-reactive protein in newborns. Nutrients 2015; 7: 9218-9228
- 31 Palacios C, Kostiuk LL, Cuthbert A. et al. Vitamin D supplementation for women during pregnancy. Cochrane Database Syst Rev 2024; 7: CD008873 CD008873