The Prevention of Maternal Phenylketonuria (PKU) Syndrome: The Development and Evaluation of a Specific Training

Carmen Rohde1, Alena Gerlinde Thiele1, Anne Tomm1

  • 1Department of Women and Child Health, Hospital for Children and Adolescents, University Hospitals, University of Leipzig, Liebigstraße 20 a, 04103 Leipzig, Germany.

Nutrients
|December 17, 2024
PubMed

Insights

Maternal phenylketonuria (PKU) can harm unborn children. A group training program significantly improved knowledge of PKU therapy and pregnancy for young women with PKU and their partners, leading to healthier outcomes.

Area of Science:

  • Metabolic disorders
  • Genetics
  • Maternal-fetal medicine

Background:

  • Maternal phenylketonuria (PKU) syndrome poses significant risks to unborn children, including psychomotor retardation, microcephaly, and cardiac defects, due to insufficient metabolic control during pregnancy.
  • A specific prevention program was developed to mitigate these risks and improve long-term outcomes for affected offspring.

Purpose of the Study:

  • To evaluate the effectiveness of a group training program designed for young women with PKU and their partners.
  • To assess improvements in knowledge regarding PKU therapy and pregnancy, as well as changes in anxiety and depression scores.

Main Methods:

  • A group training program was implemented for young women with PKU (age >14 years) and their partners.
  • Knowledge was assessed using a multiple-choice questionnaire, and anxiety and depression scores were evaluated before and after the program.

Main Results:

  • Significant improvements in knowledge were observed in both patients (86% to 90%) and partners (78% to 89%).
  • Female patients showed significant gains in understanding diet and metabolism but not gynecological aspects.
  • Anxiety and depression scores remained stable and within normative ranges, with four pregnancies resulting in healthy offspring among trained mothers.

Conclusions:

  • The study suggests incorporating specific training programs into the standard care for young adult women with PKU and their partners.
  • These programs can enhance knowledge and potentially improve pregnancy outcomes in maternal PKU cases.
Abstract

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