Kokkonen J, Koivisto M, Lautala P, Kirkinen P
J Perinat Med. 1983;11(2):127-31. doi: 10.1515/jpme.1983.11.2.127.
Serum calcium and 25-OH-D3 in mothers of newborns with craniotabes. The aim of this study was to investigate whether calcium or vitamin D balance during late pregnancy have influence on the outcome of newborn craniotabes. 27 mothers and their fullterm newborns with craniotabes in two series were studied for clinical findings, course of pregnancy and calcium and vitamin D metabolism after the pregnancy. Calcium and phosphorus balance were studied in the first 16 mother-newborn pairs and were studied in the first 16 mother-newborn pairs and compared to a control group. Serum 25-OH-D3 concentrations were determined in the next 11 pairs and compared to a control group delivering in the same season and also to unpregnant women. The course of pregnancy did not show retrospectively any significant alterations and the clinical findings except craniotabes of the newborns were normal. In four cases the fetal head was engaged before 33th of gestation. In mothers serum calcium level was lower (p less than 0.05) and the excretion of phosphorus decreased (p less than 0.05) after the pregnancy as compared to controls. The values of serum 25-OH-D3 were at the same level in mothers and newborns with craniotabes as compared to controls but the values of mothers were lower (p less than 0.001) as compared to unpregnant controls In conclusion, craniotabes of the newborns seems to have no unique etiologic factor. The changes of calcium and vitamin D metabolism during pregnancy may be considered as predisposing factors in some cases and early engagement in some other. Perhaps also other reasons can be found.
患有颅骨软化症新生儿母亲的血清钙和25-羟基维生素D3水平。本研究旨在调查妊娠晚期钙或维生素D平衡是否会影响新生儿颅骨软化症的结局。对两个系列中27名患有颅骨软化症的母亲及其足月新生儿进行了研究,观察其临床症状、妊娠过程以及产后钙和维生素D的代谢情况。对前16对母婴进行了钙和磷平衡研究,并与对照组进行比较。测定了后11对母婴的血清25-羟基维生素D3浓度,并与同一季节分娩的对照组以及未怀孕女性进行比较。回顾性分析妊娠过程未发现任何显著变化,除新生儿颅骨软化症外的临床症状均正常。有4例胎儿头部在妊娠33周前入盆。与对照组相比,产后母亲血清钙水平较低(p<0.05),磷排泄减少(p<0.05)。与对照组相比,患有颅骨软化症的母婴血清25-羟基维生素D3水平相同,但与未怀孕对照组相比,母亲的水平较低(p<0.001)。总之,新生儿颅骨软化症似乎没有独特的病因。妊娠期间钙和维生素D代谢的变化在某些情况下可能被视为易感因素,在其他一些情况下可能是早期入盆的原因。也许还能找到其他原因。