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Concentrations of antioxidant vitamins in maternal and cord serum and their effect on birth outcomes
Yong-Zhong Wang1, Wei-Hong Ren, Wen-qiang Liao
1Third People's Hospital, Changzhou, Jiangsu Province, China.
Insights
Maternal vitamin A levels during pregnancy significantly impact birth weight and height. While vitamins E and C also play roles, vitamin A showed a direct correlation with improved birth outcomes in newborns.
Area of Science:
- Obstetrics and Gynecology
- Nutritional Science
- Neonatal Health
Background:
- Maternal oxidative stress during pregnancy may negatively affect fetal growth.
- Antioxidant vitamins (A, E, C) are crucial for healthy pregnancy and fetal development.
Purpose of the Study:
- To measure vitamin A, E, and C levels in maternal and cord serum.
- To examine the association between maternal vitamin status at delivery and infant birth outcomes.
Main Methods:
- Cross-sectional study of 143 mother-neonate pairs.
- Data collected via questionnaires and serum analysis (HPLC) for vitamins A, E, and C.
- Paired maternal and cord blood samples analyzed.
Main Results:
- Maternal serum vitamin A and E levels were higher than cord serum levels.
- Cord serum vitamin C levels were higher than maternal serum levels.
- Maternal vitamin A status correlated with increased birth weight and height.
Conclusions:
- Maternal vitamin A levels during pregnancy significantly influence birth outcomes.
- Vitamins E and C did not show a significant direct effect on the studied birth outcomes.
- Further research is needed on antioxidant vitamins' role in fetal growth across gestation.
Background:
Emerging evidence indicates that maternal oxidative stress during pregnancy could impair fetal growth and that antioxidant vitamins (e.g. vitamins A, E and C) have a significant role in maintaining physiological processes of pregnancy and growth.
Aims:
To determine the concentrations of vitamins A, E, and C in pair-matched maternal and cord serum samples of neonate, and thus to investigate the relationship between maternal serum levels of these vitamins at delivery and birth outcomes.
Methods:
A total of 143 mother-neonate pairs were recruited into the cross-sectional descriptive study. Demographic information was investigated by questionnaire. After delivery, both cord and maternal blood were collected for quantification of serum levels of vitamins A, E and C by HPLC.
Results:
Maternal serum levels of vitamins A and E were significantly higher than those in cord serum. In contrast, vitamin C level in cord serum was significantly higher than that in maternal serum. Further, we found that maternal vitamin A status was significantly correlated to both birth weight (r=0.19, p=0.0419) and birth height (r=0.21, p=0.0311), and these were manifested by these findings: (i) per 250.2 g reduction in birth weight concomitant with 1 micromol/L increase in maternal serum vitamin A level (p<0.01; 95% CI: 56.9-451.5); and (ii) per 1% increase in the ratio of serum vitamin A level of neonate to mother concomitant with 0.8 cm increase in birth height (p=0.049; 95% CI: 0.004-1.639).
Conclusion:
Maternal vitamin A, but not vitamins E and C, during pregnancy had a significant effect on birth outcomes. Further studies are necessary to investigate the role of these antioxidant vitamins in fetal growth at various gestation stages.
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