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. 1980 Jul 5;281(6232):11–14. doi: 10.1136/bmj.281.6232.11

Maternal vitamin D intake and mineral metabolism in mothers and their newborn infants.

F Cockburn, N R Belton, R J Purvis, M M Giles, J K Brown, T L Turner, E M Wilkinson, J O Forfar, W J Barrie, G S McKay, S J Pocock
PMCID: PMC1713762  PMID: 7407476

Abstract

Pregnant women receiving daily supplements of 400 IU (10 microgram) of vitamin D2 from the 12th week of pregnancy had plasma calcium concentrations higher at 24 weeks but similar at delivery to those in control pregnant women who did not receive the supplements. Infants of the women receiving the supplements had higher calcium, lower phosphorus, and similar magnesium concentrations on the sixth day of life and a lower incidence of hypocalcaemia than infants of the control women. Plasma concentrations of 25-hydroxycholecalciferol, which showed a seasonal variation, were higher in mothers and infants in the treated group. Cord-blood calcium, magnesium, phosphorus, and 25-hydroxycholecalciferol concentrations correlated with maternal values at delivery. Breast-fed infants had higher calcium and magnesium and lower phosphorus and 25-hydroxycholecalciferol concentrations than artificially fed infants. A defect of dental enamel was found in a high proportion of infants (many of whom had suffered from hypocalcaemia) born to the control women. These results suggest that vitamin D supplementation during pregnancy would be beneficial for mothers, whose intake from diet and skin synthesis is appreciably less than 500 IU of vitamin D daily.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Baum D., Cooper L., Davies P. A. Hypocalcaemic fits in neonates. Lancet. 1968 Mar 16;1(7542):598–599. doi: 10.1016/s0140-6736(68)92878-x. [DOI] [PubMed] [Google Scholar]
  2. Belton N. R., Cockburn F., Forfar J. O., Giles M. M., Kirkwood J., Smith J., Thistlethwaite D., Turner T. L., Wilkinson E. M. Clinical and biochemical assessment of a modified evaporated milk for infant feeding. Arch Dis Child. 1977 Mar;52(3):167–175. doi: 10.1136/adc.52.3.167. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Cockburn F., Brown J. K., Belton N. R., Forfar J. O. Neonatal convulsions associated with primary disturbance of calcium, phosphorus, and magnesium metabolism. Arch Dis Child. 1973 Feb;48(2):99–108. doi: 10.1136/adc.48.2.99. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Cushard W. G., Jr, Creditor M. A., Canterbury J. M., Reiss E. Physiologic hyperparathyroidism in pregnancy. J Clin Endocrinol Metab. 1972 May;34(5):767–771. doi: 10.1210/jcem-34-5-767. [DOI] [PubMed] [Google Scholar]
  5. Dent C. E., Gupta M. M. Plasma 25-hydroxyvitamin-D-levels during pregnancy in Caucasians and in vegetarian and non-vegetarian Asians. Lancet. 1975 Nov 29;2(7944):1057–1060. doi: 10.1016/s0140-6736(75)90430-4. [DOI] [PubMed] [Google Scholar]
  6. Eades S. Hypocalcaemic fits in neonates. Lancet. 1968 Mar 23;1(7543):644–645. [PubMed] [Google Scholar]
  7. GITTLEMAN I. F., PINCUS J. B. Influence of diet on the occurrence of hyperphosphatemia and hypocalcemia in the newborn infant. Pediatrics. 1951 Dec;8(6):778–787. [PubMed] [Google Scholar]
  8. Glasgow J. F., Thomas P. S. Rachitic respiratory distress in small preterm infants. Arch Dis Child. 1977 Apr;52(4):268–273. doi: 10.1136/adc.52.4.268. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Hillman L. S., Haddad J. G. Perinatal vitamin D metabolism. III. Factors influencing late gestational human serum 25-hydroxyvitamin D. Am J Obstet Gynecol. 1976 May 15;125(2):196–200. [PubMed] [Google Scholar]
  10. Keen J. H. Significance of hypocalcaemia in neonatal convulsions. Arch Dis Child. 1969 Jun;44(235):356–361. doi: 10.1136/adc.44.235.356. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Oppé T. E., Redstone D. Calcium and phosphorus levels in healthy newborn infants given various types of milk. Lancet. 1968 May 18;1(7551):1045–1048. doi: 10.1016/s0140-6736(68)91407-4. [DOI] [PubMed] [Google Scholar]
  12. PINCUS J. B., GITTLEMAN I. F., MARIUS N., BACHRA R. The effect of graded doses of vitamin D on the serum calcium and phosphorus levels; the influences of varying doses of vitamin D on the incidence of hypocalcemia during the first week of life. AMA J Dis Child. 1958 Jul;96(1):16–22. doi: 10.1001/archpedi.1958.02060060018003. [DOI] [PubMed] [Google Scholar]
  13. Paunier L., Lacourt G., Pilloud P., Schlaeppi P., Sizonenko P. C. 25-hydroxyvitamin D and calcium levels in maternal, cord and infant serum in relation to maternal vitamin D intake. Helv Paediatr Acta. 1978 Jun;33(2):95–103. [PubMed] [Google Scholar]
  14. Pitkin R. M., Kaminetzky H. A., Newton M., Pritchard J. A. Maternal nutrition. A selective review of clinical topics. Obstet Gynecol. 1972 Dec;40(6):773–785. [PubMed] [Google Scholar]
  15. Preece M. A., O'Riordan J. L., Lawson D. E., Kodicek E. A competitive protein-binding assay for 25-hydroxycholecalciferol and 25-hydroxyergocalciferol in serum. Clin Chim Acta. 1974 Jul 31;54(2):235–242. doi: 10.1016/0009-8981(74)90241-1. [DOI] [PubMed] [Google Scholar]
  16. Pugh R. J. Hypocalcaemie fits in neonates. Lancet. 1968 Mar 23;1(7543):644–644. doi: 10.1016/s0140-6736(68)91279-8. [DOI] [PubMed] [Google Scholar]
  17. Purvis R. J., Barrie W. J., MacKay G. S., Wilkinson E. M., Cockburn F., Belton N. R. Enamel hypoplasia of the teeth associated with neonatal tetany: a manifestation of maternal vitamin-D deficiency. Lancet. 1973 Oct 13;2(7833):811–814. doi: 10.1016/s0140-6736(73)90857-x. [DOI] [PubMed] [Google Scholar]
  18. Roberts R. A., Cohen M. D., Forfar J. O. Antenatal factors associated with neonatal hypocalcaemic convulsions. Lancet. 1973 Oct 13;2(7833):809–811. doi: 10.1016/s0140-6736(73)90856-8. [DOI] [PubMed] [Google Scholar]
  19. Rosen J. F., Roginsky M., Nathenson G., Finberg L. 25-Hydroxyvitamin D. Plasma levels in mothers and their premature infants with neonatal hypocalcemia. Am J Dis Child. 1974 Feb;127(2):220–223. doi: 10.1001/archpedi.1974.02110210070009. [DOI] [PubMed] [Google Scholar]
  20. SAVILLE P. D., KRETCHMER N. Neonatal tetany: a report of 125 cases and review of the literature. Biol Neonat. 1960 Jan;2:1–18. doi: 10.1159/000239784. [DOI] [PubMed] [Google Scholar]
  21. Stimmler L., Snodgrass G. J., Jaffe E. Dental defects associated with neonatal symptomatic hypocalcaemia. Arch Dis Child. 1973 Mar;48(3):217–220. doi: 10.1136/adc.48.3.217. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Turton C. W., Stanley P., Stamp T. C., Maxwell J. D. Altered vitamin-D metabolism in pregnancy. Lancet. 1977 Jan 29;1(8005):222–225. doi: 10.1016/s0140-6736(77)91017-0. [DOI] [PubMed] [Google Scholar]

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