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Calcium in midpregnancy.

Ashok Kumar1, Mamta Meena, Salam Gyaneshwori Devi

  • 1Department of Obstetrics and Gynaecology, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India. ashkumar@eth.net

Archives of Gynecology and Obstetrics
|July 4, 2008
PubMed
Summary
This summary is machine-generated.

This study established reference values for serum calcium and urinary calcium excretion in pregnant women. Calcium intake varied significantly based on demographic factors, highlighting the need for improved dietary patterns.

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Area of Science:

  • Obstetrics and Gynecology
  • Nutritional Science
  • Biochemistry

Background:

  • Establishing reference ranges for serum calcium and urinary calcium excretion is crucial for monitoring maternal and fetal health during pregnancy.
  • Calcium intake and status can be influenced by various demographic and socioeconomic factors in pregnant populations.

Purpose of the Study:

  • To determine reference values for serum calcium concentration and 24-hour urinary calcium excretion in pregnant women during their second trimester.
  • To investigate the variations in dietary calcium intake among pregnant women and identify associated demographic factors.

Main Methods:

  • A cross-sectional study involving 543 healthy, vegetarian, primigravid women in their second trimester of pregnancy.
  • Serum and 24-hour urinary samples were collected for calcium level determination.
  • Dietary calcium intake was assessed using a 3-day recall method, and variations were analyzed against demographic characteristics.

Main Results:

  • Mean serum calcium was 8.1±1.5 mg/dL, mean 24-hour urinary calcium was 129.56±67.08 mg, and mean daily calcium intake was 324.37±199.47 mg.
  • The 95th percentiles for serum calcium and urinary calcium excretion were 10.56 mg/dL and 280.70 mg/24 h, respectively.
  • Higher educational level, monthly income, and height were positively correlated with increased calcium intake.

Conclusions:

  • This study provides the first standard reference values for calcium status in second-trimester pregnant females in Northern India.
  • Demographic characteristics significantly influence calcium intake during pregnancy.
  • Interventions aimed at improving education and socioeconomic status are recommended to enhance dietary calcium patterns in pregnant women.