Gestational diabetes: a risk of puerperal hypovitaminosis A?

Anais da Academia Brasileira de Ciências

Fernanda B.s. Resende¹  Larissa Q. De Lira¹  Evellyn C. Grilo¹  Mayara S.r. Lima¹  Roberto Dimenstein¹ 

关键词: colostrum;    Gestational diabetes;    HPLC;    Hypovitaminosis A;    Postpartum;    colostro;    Diabetes gestacional;    CLAE;    Hipovitaminose A;    Pós-parto;   

DOI  :  10.1590/0001-3765201520140164

来源: SciELO

【 摘 要 】

The influence of gestational diabetes on vitamin A deficiency in lactating women and, consequently, in their newborn has been verified through a cross-sectional case-control study conducted with volunteer puerperal women. The control group consisted of healthy women and the test group was composed of women with gestational diabetes. One hundred and seven women were recruited, corresponding to 71 controls and 36 cases. Personal, gestational and newborn data were collected directly from medical records during hospitalization. The retinol was determined in maternal colostrum and serum by High Performance Liquid Chromatography. Postpartum women with gestational diabetes were older, had more children and a higher prevalence of cesarean delivery. No difference was found in retinol concentration in maternal milk and serum between the groups. However, it was observed that 16.7% had vitamin A deficiency in the group of patients with diabetes and only 4.1% had such deficiency in the control group. Although no difference was found in colostrum and serum retinol concentration between women with and without gestational diabetes, the individual analysis shows that those with diabetes are at higher risk of being vitamin A deficient.

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