Second-trimester maternal serum vitamin D and pregnancy outcome: The Western Australian Raine cohort study
Document Type
Journal Article
Publication Title
Diabetes Research and Clinical Practice
Volume
175
PubMed ID
33766698
Publisher
Elsevier
School
School of Nursing and Midwifery
RAS ID
35476
Abstract
Aims: To assess the effect of maternal serum 25(OH)-vitamin D levels during the second trimester of pregnancy on the risk for gestational diabetes (GDM), pregnancy and infantile outcomes. Methods: This study is based on the Western Australian Pregnancy Cohort (Raine) study. Maternal serum 25(OH)-vitamin D concentrations of 890 pregnant women were evaluated at 18 weeks pregnancy and grouped into serum Vitamin D quartiles ( > 30, 30–49, 50–74 and > 75 nmol/L). Results: Participants with de-seasonalized 25 (OH)-vitamin D levels < 30 nmol/L were more likely to develop GDM, but not after controlling for ethnicity. Women with high body mass index (BMI) > 30 were at a greater risk of developing GDM. Additionally, women with GDM were at a greater risk of primary caesarean delivery. Maternal serum levels of 25(OH)-vitamin D were positively associated with birth weight, body length and head circumference of the neonate. Conclusion: Low maternal serum levels of 25(OH)-vitamin D are associated with GDM gestational diabetes, and race/ethnicity may modify this relationship. High pre-gestational BMI may predict GDM risk. GDM in pregnancy may increase the risk for delivery by caesarean section. Maternal 25(OH)-vitamin D is associated with anthropometric measures of the neonate.
DOI
10.1016/j.diabres.2021.108779
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Comments
Mosavat, M., Arabiat, D., Smyth, A., Newnham, J., & Whitehead, L. (2021). Second-trimester maternal serum vitamin D and pregnancy outcome: The Western Australian Raine cohort study. Diabetes Research and Clinical Practice, 175, article 108779. https://doi.org/10.1016/j.diabres.2021.108779