Maternal vitamin D status, prolonged labor, cesarean delivery and instrumental delivery in an era with a low cesarean rate

Alison Diane Gernand, M. A. Klebanoff, H. N. Simhan, L. M. Bodnar

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Objective:To examine the association between maternal 25-hydroxyvitamin D (25(OH)D) and adverse labor and delivery outcomes.Study Design:We measured serum 25(OH)D at ≤26 weeks gestation in a random subsample of vertex, singleton pregnancies in women who labored (n=2798) from the 12-site Collaborative Perinatal Project (1959 to 1966). We used labor and delivery data to classify cases of adverse outcomes.Result:Twenty-four percent of women were vitamin D deficient (25(OH)D <30 nmol l -1), and 4.5, 3.3, 1.9 and 7.5% of women had prolonged stage 1 labor, prolonged stage 2 labor, primary cesarean delivery or indicated instrumental delivery, respectively. After adjustment for prepregnancy body mass index, race and study site, 25(OH)D concentrations were not associated with risk of prolonged stage 1 or 2, cesarean delivery or instrumental delivery.Conclusion:Maternal vitamin D status at ≤26 weeks was not associated with risk of prolonged labor or operative delivery in an era with a low cesarean rate.

Original languageEnglish (US)
Pages (from-to)23-28
Number of pages6
JournalJournal of Perinatology
Volume35
Issue number1
DOIs
StatePublished - Jan 3 2015

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Vitamin D
Mothers
Pregnancy
Body Mass Index
Serum
25-hydroxyvitamin D

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

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abstract = "Objective:To examine the association between maternal 25-hydroxyvitamin D (25(OH)D) and adverse labor and delivery outcomes.Study Design:We measured serum 25(OH)D at ≤26 weeks gestation in a random subsample of vertex, singleton pregnancies in women who labored (n=2798) from the 12-site Collaborative Perinatal Project (1959 to 1966). We used labor and delivery data to classify cases of adverse outcomes.Result:Twenty-four percent of women were vitamin D deficient (25(OH)D <30 nmol l -1), and 4.5, 3.3, 1.9 and 7.5{\%} of women had prolonged stage 1 labor, prolonged stage 2 labor, primary cesarean delivery or indicated instrumental delivery, respectively. After adjustment for prepregnancy body mass index, race and study site, 25(OH)D concentrations were not associated with risk of prolonged stage 1 or 2, cesarean delivery or instrumental delivery.Conclusion:Maternal vitamin D status at ≤26 weeks was not associated with risk of prolonged labor or operative delivery in an era with a low cesarean rate.",
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Maternal vitamin D status, prolonged labor, cesarean delivery and instrumental delivery in an era with a low cesarean rate. / Gernand, Alison Diane; Klebanoff, M. A.; Simhan, H. N.; Bodnar, L. M.

In: Journal of Perinatology, Vol. 35, No. 1, 03.01.2015, p. 23-28.

Research output: Contribution to journalArticle

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