Ciebiera Michał, Wojtyła Cezary, Łukaszuk Krzysztof, Zgliczyńska Magdalena, Zaręba Kornelia, Rawski Wojciech, Jakiel Grzegorz
Second Department of Obstetrics and Gynecology, Center of Postgraduate Medical Education, Warsaw, Poland.
First Department of Obstetrics and Gynecology, Center of Postgraduate Medical Education, Warsaw, Poland.
Arch Med Sci. 2019 Jan 30;17(4):992-1005. doi: 10.5114/aoms.2019.81747. eCollection 2021.
The role of vitamin D in perinatology is a subject of major interest in current medicine. There is growing evidence about the role of maternal vitamin D levels in pregnancy outcomes. The aim of this review is to summarize the current literature about the role of vitamin D in perinatology. Evidence from this review suggests associations between low levels of maternal vitamin D and higher risk of certain obstetrical complications. Vitamin D has been found to be related to preeclampsia, gestational diabetes mellitus, low birth weight, and preterm birth. The current literature supports vitamin D supplementation in pregnant women, but more high-quality data are necessary. The problem that remains is how to achieve an optimal 25-hydroxyvitamin D level. To determine the real benefits of vitamin D supplementation in pregnancy, we need high-quality trials in larger groups.
维生素D在围产医学中的作用是当前医学领域的一个主要研究热点。越来越多的证据表明母体维生素D水平在妊娠结局中所起的作用。本综述的目的是总结当前关于维生素D在围产医学中作用的文献。该综述的证据表明母体维生素D水平低与某些产科并发症的较高风险之间存在关联。已发现维生素D与子痫前期、妊娠期糖尿病、低出生体重和早产有关。当前文献支持对孕妇补充维生素D,但仍需要更多高质量的数据。仍然存在的问题是如何达到最佳的25-羟基维生素D水平。为了确定孕期补充维生素D的实际益处,我们需要在更大规模的群体中进行高质量试验。