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. 2019 Oct 3;2019(10):CD013446. doi: 10.1002/14651858.CD013446

Garreto 2016.

Trial name or title A randomised control trial of vitamin D prophylaxis in the prevention of hypertensive disorders of pregnancy
Methods Randomised open‐label clinical trial (parallel assignment)
Participants Women 18 years of age and older, with a confirmed intrauterine pregnancy, less than 16 weeks' gestation and carrying a singleton gestation. Those taking vitamin D supplementation outside of prenatal vitamins are excluded from study participation. Additional exclusion criteria were: known disorder that will affect vitamin D levels (i.e. hyperparathyroidism, mal‐absorption disorder, history of gastric bypass surgery, immunocompromised state, maternal use of immune‐modulators etc.), carrying a fetus with known aneuploidy or anomaly, fetal demise, chronic use of diuretic or cardiac medication therapy including calcium channel blockers.
Interventions G1: vitamin D prophylaxis: participants will be provided vitamin D 3000 IU daily or vitamin D 4000 IU daily with and without concurrent use of prenatal vitamins, respectively.
G2: participants will not receive additional vitamin D in the pregnancy (but prenatal vitamins?)
Outcomes Maternal
Primary
  • Pre‐eclampsia

  • Adverse events: gestational hypertension, eclampsia, toxemia, HELLP syndrome.


Secondary
  • Serum levels of 25(OH)D (ng/mL)


Infant
Primary
  • Preterm birth

  • Low birthweight


Secondary
  • Cord blood levels of 25(OH)D (ng/mL)

  • Apgar score

  • Adverse neonatal outcomes: neonatal intensive care unit admission, fetal distress, respiratory distress syndrome, ventilation, neonatal infection, fracture, and neonatal death

Starting date October 2016
Contact information Diana J Garretto, MD; (631) 444‐7650; diana.garretto@stonybrookmedicine.edu
Malini D Persad, MD MPH; (631) 444‐7650; malini.persad@stonybrookmedicine.edu
Notes Funding: Stony Brook University
Declarations of interest among primary researchers: NA
City/country: New York, US