Showing posts with label Preganancy and Nutrition - Preterm Birth. Show all posts
Showing posts with label Preganancy and Nutrition - Preterm Birth. Show all posts

Tuesday, June 9, 2015

Depleted maternal iron status early in pregnancy is associated with a higher risk of low birth weight babies

Depleted maternal iron status early in pregnancy is associated with a higher risk of low birth weight babies

June 3, 2015
Weekly Essentials of Health by Usana Health Sciences 
Depleted maternal iron status early in pregnancy is associated with a higher risk of low birth weight babies

At a Glance

A recent study published in British Journal of Nutrition shows that poor iron status early in pregnancy significantly increases the risk of babies born small for gestational age (SGA). 

Read more about this research below. 

Iron deficiency anemia during early pregnancy has long been linked to low birth-weight, preterm birth, and other health problems. But previous research and advice has been based on hemoglobin (Hb) levels (screening for outright deficiencies or anemia), not on other specific measures of iron deficiency.

In a new study published in the British Journal of Nutrition, researchers examined the association between maternal iron status during the first trimester of pregnancy with birth size and preterm birth by using more specific measures of iron deficiency such as serum ferritin, transferrin receptor and their ratio.  

Three-hundred sixty-two infants and their mothers were recruited for this study. Biomarkers and iron measurements were analyzed from maternal blood serum samples that had been taken during the first trimester of pregnancy.

Iron depletion during the first trimester was linked to a higher incidence of SGA. The association was even stronger when Hb measurements were included in the assessment. Although there was no evidence of a link between iron insufficiency and preterm birth, for every 10 g/l increase in the mother’s Hb level during the first half of pregnancy there was a 30% lower risk of SGA. Hb levels below 110 g/l were associated with a 300% increase in SGA risk. Contrary to other research, Hb levels in the second half of pregnancy were not associated with SGA risk.

The results of the present study indicate that depleted iron stores in early pregnancy are associated with higher risk of SGA. In some countries iron supplementation is not recommended during pregnancy except in the case of anemia. Based on the results of this study, researchers suggest that all women should be screened for iron deficiency early in pregnancy using more specific measurements, and should be offered more personal and helpful advice on improving iron status through diet and supplements.  

Nisreen A. Alwan, Janet E. Cade, Harry J. McArdle, Darren C. Greenwood, Helen E. Hayes and Nigel A. B. Simpson. Maternal iron status in early pregnancy and birth outcomes: insights from the Baby's Vascular health and Iron in Pregnancy study. British Journal of Nutrition, available on CJO2015. doi:10.1017/S0007114515001166.

Saturday, March 10, 2012

Pregnancy and Nutrition - Multi Vitamins and Preterm Birth


At a Glance
Preterm birth is associated with many health risks as well as a lower rate of infant survival during the first year of life. Women who take a multivitamin before conception have half the risk of preterm delivery when compared to those who wait until after becoming pregnant to start taking nutritional supplements.

Read more about this research below.
A study published in the November 2004 issue of the American Journal of Epidemiology showed that the use of multivitamin supplements by women prior to becoming pregnant was associated with fewer preterm deliveries. Preterm birth is defined as birth at less than 37 weeks of gestation and is associated with a lower rate of infant survival during the first year of life.

Researchers utilized data from the Pregnancy, Infection and Nutrition Study which recruited 2,010 women during their 24 to 29 week of pregnancy. They compared the incidence of preterm delivery among women who took multivitamins prior to conception, before conception and during pregnancy, during pregnancy only, or not at all.

Women who took a multivitamin supplement before conception had half the risk of early and late preterm delivery than those who took no vitamins. Women who used multivitamins only during pregnancy had approximately the same amount of preterm births when compared to women who took none at all.

This study, as well as many previous studies, reinforces the concern that waiting until pregnancy is confirmed may be too late for nutritional intervention to benefit many pregnancy outcomes.

Am J Epidemiol. 2004 Nov 1;160(9):886-92