Dietary Supplements

Maternal and Neonatal Vitamin D Status at Preterm Delivery-A Cross-Sectional Study.

TL;DR

Vitamin D insufficiency is common in mothers and their prematurely born infants at birth, but vitamin D supplementation during pregnancy reverses the trend, suggesting regular assessment of 25OHD levels should be considered to avoid inadequate supplementation.

Key Findings

Vitamin D insufficiency was highly prevalent in both mothers and preterm newborns at birth in Poland.

  • 25OHD insufficiency was detected in 84.06% of mothers and 62.32% of newborns
  • Study conducted in Poland, a northern-latitude country, between August 2015 and September 2016
  • Sample consisted of 69 pairs of mothers and newborns ≤ 32 6/7 weeks of gestation
  • Median (IQR) 25OHD levels were 25 (16.6–34 ng/mL) in cord blood and 21.2 (15–29 ng/mL) in maternal blood

Maternal and neonatal 25OHD levels at preterm delivery were positively correlated.

  • Pearson correlation coefficient r = 0.69, p < 0.0001
  • Cord blood 25OHD median was higher than maternal blood median (25 ng/mL vs. 21.2 ng/mL)
  • Analysis used univariable and multivariable linear regression in addition to correlation analysis

Vitamin D supplementation during pregnancy significantly increased maternal and cord blood 25OHD levels.

  • Only 54.4% of mothers received vitamin D supplementation during pregnancy
  • Supplemented mothers had higher 25OHD levels compared to non-supplemented mothers (27 ng/mL vs. 16.7 ng/mL, p = 0.0006)
  • Cord blood 25OHD levels were also higher in the supplemented group (32.4 ng/mL vs. 17.4 ng/mL, p = 0.0005)
  • Supplementation increased the percentage of maternal 25OHD sufficiency (72.7% vs. 27.3%, p = 0.005) and neonatal 25OHD sufficiency (80% vs. 20%, p = 0.0021)

Summer delivery was associated with higher maternal 25OHD levels.

  • Maternal 25OHD levels were significantly higher in summertime delivery (p = 0.0008)
  • Summer seasonal cord blood 25OHD levels were also higher in supplemented vs. non-supplemented mothers (38.89 ng/mL vs. 25.5 ng/mL, p = 0.023)
  • Season of delivery was identified as a determinant of maternal 25OHD status

Preterm newborns had cord blood 25OHD levels that were numerically higher than their mothers' blood levels at delivery.

  • Median cord blood 25OHD was 25 ng/mL (IQR 16.6–34 ng/mL) compared to maternal median of 21.2 ng/mL (IQR 15–29 ng/mL)
  • Despite cord blood levels being somewhat higher, 62.32% of newborns still showed 25OHD insufficiency
  • This pattern is consistent with known active placental transfer of 25OHD to the fetus

The authors recommend regular assessment of 25OHD levels in preterm newborns and mothers at risk of preterm delivery.

  • The recommendation is intended to avoid inadequate supplementation in preterm newborns and at-risk mothers
  • The study was cross-sectional in design, limiting causal inference
  • Data are from a single northern-latitude country (Poland), which may limit generalizability to other geographic regions

What This Means

This research suggests that vitamin D deficiency is extremely common among mothers giving birth prematurely and their newborn babies in Poland. In this study of 69 mother-infant pairs born before 33 weeks of pregnancy, more than 8 in 10 mothers and 6 in 10 newborns had insufficient vitamin D levels at the time of delivery. The levels in mothers and babies were closely linked, meaning that when mothers had low vitamin D, their babies did too—and vice versa. This research also suggests that taking vitamin D supplements during pregnancy made a meaningful difference. Mothers who supplemented had notably higher vitamin D levels (27 ng/mL vs. 16.7 ng/mL), and their babies' cord blood levels were nearly double those of non-supplemented mothers (32.4 ng/mL vs. 17.4 ng/mL). The proportion of babies with sufficient vitamin D was four times higher when mothers had supplemented. Season also mattered, with summer deliveries associated with better vitamin D status, and the combination of supplementation and summer season produced the highest levels. The practical implication of these findings is that vitamin D supplementation during pregnancy appears to be an important tool for improving vitamin D status in both premature infants and their mothers, yet over 45% of mothers in this study did not supplement. Because preterm babies are at particular risk for vitamin D-related complications such as bone weakness, the authors suggest that regularly measuring vitamin D levels in mothers at risk of early delivery—and in the preterm babies themselves—should be considered as part of clinical care.

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Citation

Zarlenga M, G&#x142;uszczak-Idziakowska E, Czech-Kowalska J, Skrzypek M, Wili&#x144;ska M. (2026). Maternal and Neonatal Vitamin D Status at Preterm Delivery-A Cross-Sectional Study.. Nutrients. https://doi.org/10.3390/nu18172908