We would only =give supplements if we tested women and they were under e.g. 50 nmol/l
and give 1000 i/u per day if it is noty much below in pregnancy but 2000 i/u if less than 20-30 ealry ion pregnancy
no supplements if a woman's levels are >70
then actually we alos give the baby pentavite for a year of life if mothers vt d is low
our guidleines are at http://www.thewomens.org.au/VitaminDAntenatalScreening
della forster (Australia)
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From: A forum for discussion on midwifery and reproductive health research. [[log in to unmask]] On Behalf Of Soo Downe [[log in to unmask]]
Sent: Tuesday, 18 May 2010 5:55 PM
To: [log in to unmask]
Subject: Re: Vitamin D deficiency in pregnancy and the newborn
Pam, has anyone considered the risk of overdosing women (babies) with vit D if they are given routine supplements when they already have sufficient stores? I understand that it is fat soluble - can toxic levels arise?. The history of routine vitamin supplementation has been rather controversial in this regard, I understand?
All the best
Soo
>>> Pamela Harnden <[log in to unmask]> 5/18/2010 5:49 am >>>
Hi,
I have been asked to write and article about Vit D deficiency and the newborn following reports of a nipple cream containing Vit D which can be applied to the nipples to supplement the newborn during breastfeeding.
I have completed a search on the CINHAL database and come across 13 full text articles which raise a number of points.
1. Vitamin D deficiency exisits in pregnancy and in the newborn especially in those women with dark skin and I found a particular study which had been completed in Iran. There has also been concern expressed in Australia with regard to Muslim women in traditional dress.
2. There is no vitamin D in breastmilk
3. In the U.S paediatricians only recommend vit D supplementation from 2months of age and in other countries it has been recommended from 1 month of age.
4. it is also suggested that vit D deficiency in pregnancy affects brain development in the fetus which cannot be repaired with supplementation after birth and so it was the incidence of mental health issues could be linked to Vit D deficiency during pregnancy.
5. other evidence suggests that supplementation success is dependent on the womans ability to uptake the supplement and it is variable and difficult to suggest what the dosage should be.
One medical opnion I have been given is that a perso only needs 3mins of sun exposure a day but I wondered if anyone knows of any documented evidence which supports this idea.
I'd be grateful to know if anyone else knows of any other research out there.
many thanks
Pam Harnden
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Pam Harnden
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