ORIGINAL PAPER
Assessment of correlation between vitamin D level and prevalence of preterm births in the population of pregnant women in Poland
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Medical University in Lodz, Łódź, Poland
(Department of Perinatology, 1st Chair of Obstetrics and Gynecology)
Online publication date: 2017-08-22
Corresponding author
Marta Baczyńska-Strzecha
Medical University in Lodz, Department of Perinatology, 1st Chair of Obstetrics and Gynecology, Wileńska 37,
94-029 Łódź, Poland
Int J Occup Med Environ Health. 2017;30(6):933-41
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ABSTRACT
Objectives: Aim of this project is determination of the correlation between the level of vitamin D in blood serum and duration
of pregnancy in population in central Poland. Material and Methods: 25-Hydroxyvitamin D (25(OH)D) level was determined
in blood serum, using enzyme-linked immunosorbent assay (ELISA). Standardized history of each patient was recorded.
The history included: general medical history, data regarding the course of pregnancy and information about health-related
behavior that could influence vitamin D concentration. Two hundred-and-one Caucasian women at childbirth were qualified
into the study. The study group was divided into 2 parts: 100 patients who had a spontaneous premature birth and 101 patients
who had birth at full term. Results: Vitamin D deficiency (< 30 ng/ml) was very common for both groups (69.6% of patients
in the premature group and 72% – in the control group). Patients who had a premature birth had severe vitamin D deficiency
(less than 10 ng/ml) more often than in the control group (34% vs. 14.2%, p = 0.001). Severe vitamin D deficiency increased
the risk of premature birth but the association was not statistically significant in the multivariate regression model (odds ratio
(OR) = 2.47, 95% confidence interval (CI): 0.86–7.15, p = 0.094). Conclusions: Severe vitamin D deficiency (< 10 ng/ml)
may be the factor increasing the risk of preterm birth. Int J Occup Med Environ Health 2017;30(6):933–941