Page 72 - Zbornik_Konf_2019

https://doi.org/10.15414/2019.9788055220703

4 International Scientific Conference Abstracts Book
th
EXPERIENCE OF RATIONAL VITAMIN SUPPLEMENTS INTAKE IN THE OBSTETRICIAN
PRACTICE
Anastasiia Aksonova , Iryna Ventskovskaya , Natalia Bondarenko ,
1
1
1
Pavlo Aksonov , Olena Palamarchuk 3
2
1 O.O. Bogomolets National medical university, Kyiv, Ukraine; E-mail.: aks.anastasiia@gmail.com
2 State Institute of Urology of the National Academy of medical sciences of Ukraine, Kyiv, Ukraine
3 P.L. Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine

Maintaining a healthy, balanced diet during the pregnancy period is important but
additional supplements have been shown to be important as well. Nowadays, in the literature
discusses the position that the use of vitamin supplements during pregnancy affects the
increase in baby's weight, which leads to macrosomia and related maternal complications
during the period of gestation and delivery. The question of the expediency of the
appointment of vitamins remains debatable, which determines the relevance and aim of our
study. The aim of this study was to evaluate the frequency of fetal macrosomia development,
maternal gestational and intrapartum pathology and positive impact in the case of using a
complex of vitamins during the period of pregnancy.
On the basis of the Perinatal Center of Kyiv, 95 women, with singleton pregnancy who
delivered a healthy babies during a 2019 year were divided into three groups: 1 – women
who received vitamins during the entire period of gestation until the moment of delivery and
additional iron in case of diagnosed anemia; 2 – women who used a balanced diet and, if
necessary, received iron in the diagnosis of anemia and 3 (control) – women who did not take
vitamin supplementation with a physiological course of pregnancy and after a childbirth. For
preventive purposes to protect the mother and the newborn from the bleeding, in order to
form newborn coagulation factors in the liver, the mother and the baby after the birth were
given vitamin K1 1.0 intramuscularly. It was analyzed the general women anamnesis,
metabolic risk factors, course of pregnancy and delivery and weight of the newborns (more
than 4500 grams and less than 4500 grams). The statistical processing of the obtained results
was carried out using standard methods of variation statistics.
Among the 95 women who were participated in the study, 27 had fetal macrosomia. The
fetal birth weight was significantly higher in the vitamin supplementation group (29 % versus
6.31 %; 5.3 %, p >0.05). Among the complications of the gestational period, patients of the 1st
group were significantly more likely, compared with the other two groups of the study, early
toxemia, and polyhydramnios were detected (p > 0.05) and a significantly higher cases of
labor trauma, pathological deliveries and operations – cesarean section (12 % in case of
compare with 6 % – in the second group and 7 % – in the control group).
Prolonged intake of vitamin supplementation increases the risk of fetal macrosomia and
for the mother – the frequency of induction of labor, pathological labors, injury to the birth
canal and operative interventions. It should be clearly taken into account the feasibility of the
appointment of vitamins for the entire duration of pregnancy and, if possible, cancellation of
their admission after 30 weeks of gestation with replacing their reception with balanced
rational nutrition. Vitamin K administration to the women in labor to reduce the development
of the hemorrhagic disease of the newborn is still controversial.
Keywords: pregnancy, nutrition, vitamin supplements, fetus, macrosomia, vitamin K.

|72 4 International Scientific Conference Agrobiodiversity Nutrition, Health and Quality of Human and Bees Life
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September 11–13, 2019