E-ISSN: 1309-0380
    Iron, folate and vitamin B12 levels in first trimester pregnancies in the Southwest region of Turkey
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    Original Investigation
    VOLUME: 12 ISSUE: 3
    P: 153-156
    September 2011

    Iron, folate and vitamin B12 levels in first trimester pregnancies in the Southwest region of Turkey

    J Turk Ger Gynecol Assoc 2011;12(3):153-156
    DOI: 10.5152/jtgga.2011.36
    Aysun Karabulut 1
    Osman Sevket 2
    Ayhan Acun 3
    1. Denizli Devlet Hastanesi, Kadin Dogum Klinigi, Denizli, Tu¨Rkiye
    2. Clinic Of Obstetrics And Gynecology, Denizli State Hospital, Denizli, Turkey
    3. Department Of Biochemistry, Denizli State Hospital, Denizli, Turkey
    No information available.
    No information available
    Received Date: 19.04.2011
    Accepted Date: 19.07.2011
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    ABSTRACT

    Objective:

    Iron, folate and vitamin B12 play important roles in the healthy development of the fetus in pregnancy. Preconceptional levels of these micronutrients is influenced by dietary habits. The purpose of this study was to investigate the status of iron, vitamin B12 and folate in first trimester pregnancies in the southwest region of Turkey where the Mediterranean Cuisine, rich in fresh fruit and vegetables is commonly consumed.

    Material and Methods:

    Two hundred and one low-middle income pregnant women were recruited during their first prenatal visit. Hemoglobin, ferritin, folate and vitamin B12 levels were evaluated and a structured questionnaire was given to gather information including age, gravida, parity, frequency of pregnancy, history of abortion, and intrauterine device usage. Based on WHO and international guidelines, anemia was defined as hemoglobin <11 g/dl, and iron deficiency as ferritin <15 µg/L. Serum folate and vitamin B12 deficiencies were defined as levels below 3 ng/ml and 200 pg/ml respectively.

    Results:

    The mean age and gestational week were 26.4±5.3 years and 9±3 weeks respectively. Mean plasma concentrations were 12.8±9.7 g/dl for hemoglobin, 22.7±17.2 µg/L for ferritin, 12.2±5.6 ng/ml for folate and 266.6±100.2 pg/ml for vitamin B12. Anemia was detected in 4.5% of pregnant women, iron deficiency in 40.3%, vitamin B12 deficiency in 29.8% and folate deficiency in 0.5% of patients. In 10.9% of patients, both vitamin B12 and iron iron deficiency was detected. There was no significant difference for age, body mass index, gravida, parity, frequency of pregnancy, history of abortion, and intrauterine device usage between women with low and normal levels of vitamin B12 and Ferritin (p>0.05).

    Conclusion:

    Iron and vitamin B12 deficiencies were relatively common in the pregnant population consuming vegetable based diets. Iron and vitamin B12 supplementation in addition to folate must be considered for the wellbeing of the fetus in pregnant women living in areas where dietary patterns are mainly vegetable based.

    Keywords: Hemoglobin, ferritin, folate, vitamin B12, pregnancy

    References

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