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Pregnancy and Vitamin D – All About Dosing

I am a huge proponent in my clinical practice of use of Vitamin D in pregnancy, of course checking with your OB/GYN is important. Sufficient Vitamin D is good for mom and baby alike. Here is some of the latest research; at the very least I hope that the following discussion will motivate you and anyone you care about to go get tested to make sure Vitamin D levels are optimal.

Research presented at the Annual Meeting of the Pediatric Academic Societies indicates that Vitamin D is crucial during pregnancy. The American Pregnancy Association reports that of the estimated 6 million pregnancies per year in the United States, 875,000 women experience one or more pregnancy-related complication.  Low vitamin D levels are epidemic throughout the world, but particularly when sedentary lifestyle, indoor working and living, and avoidance of the sun due to fears of skin cancer or damage to skin, leads to active avoidance or use of sun screen. Also skin with pigment will also increase risk of vitamin D insufficiency, compared to non-pigmented skin.

In this new study, a group of pregnant women were evaluated monthly for treatment safety and were given blood tests to measure Vitamin D supplementation effectiveness. The women were also followed to determine the rate of pregnancy complications including preeclampsia, gestational diabetes, infections, preterm labor and preterm birth.

As serum Vitamin D levels increased, the risk of infection and preterm labor and birth decreased. The group receiving 4,000 IU of Vitamin D daily had the lowest rate of infection and preterm labor and birth. In fact, compared to the group receiving 400 IU Vitamin D per day, the group receiving 4,000 IU per day had a 50 percent reduction in risk of these complications.

When moms are low in Vitamin D, they don’t have peak potential to give their developing babies adequate optimal levels of Vitamin D. This is also true for lactating moms too.

In the conclusion of the study, the well-respected authors of the study reported “Vitamin D sufficiency was strongly associated with decreased risk for pre-term labor and birth and infection during pregnancy and comorbities of pregnancy, with the greatest effect with 4,000 IU Vitamin D/day regimen. Therefore, to attain a minimal 25(OH)D level of 40 ng/mL, we recommend 4,000 IU/day for all pregnant women.” My patients get their blood levels of Vitamin D tested and as the report says “attain a minimal level of 40 ng/ml, that is the blood level with a normal blood range being 20-100.


Health Tips On the Go!

Improve Posture

  • 1.Avoid slouching. Be aware of your posture as you walk, sit, and drive, keep shoulders squared and head pulled back and up.

  • 2.Imagine a thread pulling the top of your head toward the ceiling. Visualization can help improve your sense of position.

  • 3.If your job requires you to sit for long periods, take frequent breaks to stand, stretch and shake it out.

  • 4.Maintain a strong core to help support proper posture. Add core-training exercises to your daily routine.

  • 5.A firm mattress and ergonomic pillow help achieve proper back support while you sleep, so you'll stand straighter in the a.m.

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