The Frequency of Vitamin B12 and Folic Acid Deficiency in Mothers and Their Newborn Infants in Şanlıurfa Province

Nurgül Ataş, A. Çakmak
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Abstract

Background: Vitamin B12 deficiency in pregnant women is an important health issue which not only affects mothers but also their infants. The aim of this study is to reveal the frequency of vitamin B12 and folic acid deficiency in pregnant women and their newborn babies, to evaluate the relationship between maternal and neonatal vitamin B12 and folic acid levels, and to determine the risk factors for vitamin B12 deficiency. Materials and Methods: This prospective study included 600 pregnant women (gestational age: 38-42 weeks) who presented to obstetrics departments in Şanlıurfa Province and their newborn infants without perinatal complication (birth weight≥2500 g). The lower limit for vitamin B12 was defined as 200 pg/mL. Data regarding age, number of child, medication, comorbid disease or being vegetarian or not were recorded in all mothers. Results: Vitamin B12 deficiency was found in 73.8% of the included pregnant women, and folic acid deficiency was found in 10.3%. Again, 70.5% of newborn babies were found to have vitamin B12 deficiency and 3.7% to have folic acid deficiency. It was concluded that vitamin B12 levels in newborn babies were related to maternal levels. Conclusions: As a result, it has been shown that a significant portion of newborns in Turkey have vitamin B12 deficiency. Vitamin B12 levels were quite low in mothers who gave birth recently. The deficiency of vitamin B12, which plays a major role in brain development upon intrauterine period, is a preventable cause of neurological deficit. Thus, it is highly important to screen and treat vitamin B12 deficiency before onset of clinical symptoms. We believe that our study is beneficial in this regard.
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Şanlıurfa省母亲及其新生儿维生素B12和叶酸缺乏频率调查
背景:孕妇维生素B12缺乏是一个重要的健康问题,不仅影响母亲,而且影响婴儿。本研究旨在揭示孕妇及其新生儿维生素B12和叶酸缺乏的频率,评估孕妇和新生儿维生素B12和叶酸水平之间的关系,确定维生素B12缺乏的危险因素。材料和方法:本前瞻性研究纳入Şanlıurfa省产科就诊的600名孕妇(胎龄:38-42周)及其新生儿,无围产期并发症(出生体重≥2500 g),维生素B12的下限定义为200 pg/mL。记录了所有母亲的年龄、子女数量、药物、合并症或是否吃素等数据。结果:73.8%的孕妇缺乏维生素B12, 10.3%的孕妇缺乏叶酸。同样,70.5%的新生儿缺乏维生素B12, 3.7%缺乏叶酸。由此得出结论,新生儿体内的维生素B12水平与母亲体内的维生素B12水平有关。结论:结果显示,土耳其有相当一部分新生儿缺乏维生素B12。最近分娩的母亲体内的维生素B12水平相当低。维生素B12在子宫内大脑发育中起着重要作用,缺乏维生素B12是一种可预防的神经功能缺陷的原因。因此,在出现临床症状之前筛查和治疗维生素B12缺乏症是非常重要的。我们认为我们的研究在这方面是有益的。
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