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Prevalence of Vitamin D Deficiency in Burka-clad Pregnant Women in a 450-Bedded Maternity Hospital of Delhi

  • Sangita Nangia AjmaniEmail author
  • Mohini Paul
  • Poonam Chauhan
  • A. K. Ajmani
  • Namrta Yadav
Original Article

Abstract

Aim

To assess the prevalence of vitamin D deficiency in burka-clad pregnant women and to study feto-maternal outcome in these women.

Methods

200 pregnant burka-clad women of 18–40-year age group irrespective of the period of gestation were recruited from the ANC OPD/ward of Kasturba hospital, and their vitamin D levels were estimated. Patients were categorized into vitamin D deficient, vitamin D inadequate, and vitamin D adequate according to The Endocrine Society Guidelines. The association of vitamin D deficiency with dietary/environmental factors was taken note of. Associations with preeclampsia, gestational diabetes mellitus (GDM), low birth weight (LBW), prematurity, APGAR score, and NICU admission were also studied.

Results

78 patients (39.0 %) were vitamin D inadequate; 75 patients (37.5 %) were vitamin D deficient; and 47(23.5 %) were vitamin D adequate. Mean value of vitamin D level was 23.25 ng/ml ± 18.49 (SD). Fifteen patients (7.5 %) developed preeclampsia, and all 15 were vitamin D deficient; 13 (6.5 %) developed GDM; and only 5 (2.5 %) of them were vitamin D deficient. 19 patients (9.5 %) delivered LBW babies; mothers of 15 (7.5 %) of them were vitamin D deficient. 12 patients (6.0 %) delivered premature babies, and mothers of 4 (2 %) were vitamin D deficient; 12 babies had APGAR score <7 at 5 min; mothers of 4 (2.0 %) were vitamin D deficient. Babies of 12 patients (6 %) were admitted in NICU, and of these 12 babies, mothers of 5 (2.5 %) were vitamin D deficient.

Conclusion

The prevalence of vitamin D deficiency was high among burka-clad pregnant women, and it is associated with adverse maternal and fetal outcomes. Routine screening of vitamin D levels is recommended in burka-clad women to improve the feto-maternal outcome.

Keywords

Vitamin D deficiency Preeclampsia Gestational diabetes mellitus Low-birth weight 

Notes

Compliance with Ethical Standards

Conflict of interest

None.

Ethical approval

This study was approved by institutional ethical committee.

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Copyright information

© Federation of Obstetric & Gynecological Societies of India 2015

Authors and Affiliations

  • Sangita Nangia Ajmani
    • 1
    Email author
  • Mohini Paul
    • 1
  • Poonam Chauhan
    • 1
  • A. K. Ajmani
    • 2
  • Namrta Yadav
    • 1
  1. 1.Kasturba HospitalNew DelhiIndia
  2. 2.Department of EndocrinologyB L K HospitalNew DelhiIndia

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