Postpartum Vitamin-D Deficiency and its Relations with Sociodemographic Factors
Amruta Choudhary
Department of OBGY, Datta Meghe Medical College, Shalinitai Meghe Hospital and Research Centre, Nagpur, India.
Snehal Deshmukh
Department of OBGY, Datta Meghe Medical College, Shalinitai Meghe Hospital and Research Centre, Nagpur, India.
Ranjit Ambad *
Department of Biochemistry, Datta Meghe Medical College, Shalinitai Meghe Hospital and Research Centre, Nagpur, India.
Saunetra Inamdar
Department of OBGY, Datta Meghe Medical College, Shalinitai Meghe Hospital and Research Centre, Nagpur, India.
Roshan Kumar Jha
Department of Biochemistry, Datta Meghe Medical College, Shalinitai Meghe Hospital and Research Centre, Nagpur, India.
*Author to whom correspondence should be addressed.
Abstract
Background: Deficiency of Vitamin D or 25(OH) cholecalciferol is a severe health problem worldwide. Vitamin D is essential for calcium and bone metabolism and protects against various autoimmune disorders, cardiovascular diseases, chronic infections, cancers, and infertility. It also plays a vital role in pregnancy. During pregnancy, the fetus acquires their vitamin D from their mother and r the first few months of life after delivery, particularly in breastfed infants. Deficiency of Vitamin D in infants can lead to rickets, respiratory infections, allergic diseases, heart failure.
Aims and Objective: To investigate the prevalence of vitamin D deficiency in the postpartum period and to study its relation with the sociodemographic characteristics of the patients.
Materials and Methods: This was cross-sectional observational study was conducted over one year. Sociodemographic characters and serum concentrations of vitamin D in the 25(OH)D were compared.
Results: To a total of 550 patients were enrolled. The mean age of patients was 26.5 years, around 58% of patients were from the peri-urban area, maximum number of patients were primiparous. Around 90% of patients did not have any sun exposure on a regular basis. Around 59% of enrolled patients were either unbooked or had only one antenatal visit. The mean plasma concentration of 25(OH)D in postpartum patients was 27.6ng/mL. No association was found between sociodemographic factors studied and vitamin D concentration.
Conclusion: This study showed the higher prevalence of vitamin D deficiency in India's postpartum patients despite having abundant sunlight and identifies the need for supplementation of vitamin D in pregnancy and postpartum. This supplementation has to be followed routinely in hospitals in obstetric management protocol.
Keywords: Vitamin-D, post-partum, deficiency